Individual
DANIEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5045 W GRANDE MARKET DR, APPLETON, WI 54913-8517
(920) 886-9380
Mailing address
5045 W GRANDE MARKET DR, APPLETON, WI 54913-8517
(920) 886-9380
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
69786-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080499
—
WI
Enumeration date
03/24/2017
Last updated
10/16/2025
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