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Individual

DR. MICHAEL BRENT NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1630 ANDERSON AVE STE 100, WHITESELL MEDICAL STAFFING, LTD., BUFFALO, MN 55313-2946
(763) 682-5906
Mailing address
1630 ANDERSON AVENUE SUITE 100, WHITESELL MEDICAL STAFFING, LTD., BUFFALO, MN 55313
(763) 682-5906

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54969
MN

Other

Enumeration date
04/14/2014
Last updated
04/14/2014
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