Individual
DR. KIRK NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5000 W NATIONAL AVE, VA MEDICAL CENTER, PRIMARY CARE RED CLINIC, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, VA MEDICAL CENTER, PRIMARY CARE RED CLINIC, MILWAUKEE, WI 53295-0001
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
42585
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34036400
—
WI
Enumeration date
07/20/2006
Last updated
05/04/2016
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