Individual
NICOLE ANN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.086164
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2672979
—
OH
Enumeration date
07/12/2006
Last updated
11/12/2013
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