Individual
BENJAMIN DAVID NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-3520
Mailing address
400 EAST 3RD STREET, DULUTH, MN 55805
(218) 786-3520
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
47738
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290422500
—
MN
05
—
34680600
—
WI
01
—
634T3NE
BCBS
MN
01
—
HP54875
HEALTHPARTNERS
MN
Enumeration date
10/24/2006
Last updated
05/09/2011
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