Individual
MR. BRIAN W NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 CENTRE POINTE DR, STE 200, ROSEVILLE, MN 55113
(651) 639-9150
(651) 639-9153
Mailing address
3050 CENTRE POINTE DR, STE 200, ROSEVILLE, MN 55113
(651) 639-9150
(651) 639-9153
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26599
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
517770700
—
MN
Enumeration date
06/27/2006
Last updated
12/21/2015
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