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Individual

MICHAEL JOSEPH NELSON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
7445 UNIVERSITY AVE, CLIVE, IA 50325-1337
(515) 274-9525
Mailing address
1224 DAVIS AVE, DES MOINES, IA 50315-1042
(515) 288-8504

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
093611
IA

Other

Enumeration date
04/23/2008
Last updated
04/23/2008
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