Individual
DR. ROSS NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2599 WHITE BEAR AVE N, SAINT PAUL, MN 55109-5171
(651) 770-3891
(651) 748-3117
Mailing address
2520 WHITE BEAR AVE N, SUITE A, MAPLEWOOD, MN 55109-5136
(651) 770-3891
(651) 748-3117
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
468
MN
213ES0131X
Foot Surgery Podiatrist
Primary
468
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294325500
—
MN
Enumeration date
06/20/2005
Last updated
11/14/2016
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