Individual
DR. BLAKE WILLIAM NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 696-4300
Mailing address
9105 CEDAR AVE, CLEVELAND, OH 44106-2931
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.150596
OH
Other
Enumeration date
03/20/2021
Last updated
04/30/2024
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