Individual
GAVIN PAUL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 W 49TH ST, SIOUX FALLS, SD 57105-6581
(605) 312-8700
Mailing address
1017 S MAIN AVE, SIOUX FALLS, SD 57105-0736
(402) 990-1644
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0671
SD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
05/01/2026
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