Individual
DR. EDWARD MATTHEW NELSEN-FREUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Mailing address
1233 N NORTHWOOD CENTER CT STE 101, COEUR D ALENE, ID 83814-6190
(208) 457-4211
(208) 773-1473
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1771095
ID
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
1771095
ID
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
42326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006906261N
HUMANA
—
05
—
1831141506
—
WI
Enumeration date
05/17/2006
Last updated
06/19/2026
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