Individual
DR. GERALD DALE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9403 CROSS CREEK ST (RETIRED), WICHITA, KS 67206-4086
(316) 630-8594
(970) 879-5047
Mailing address
9403 CROSS CREEK ST, WICHITA, KS 67206-4086
(316) 630-8594
(970) 879-5047
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
04-12590
KS
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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