Individual
DR. MATTHEW JAMES NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 LAKE DR SE STE 205, GRAND RAPIDS, MI 49546-8292
(616) 267-7414
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301117478
MI
207RG0100X
Gastroenterology Physician
Primary
4301117478
MI
Other
Enumeration date
03/22/2013
Last updated
02/24/2021
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