Individual
DR. MICHAEL NELSON
Active
Individual
DR. MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301074754
MI
207R00000X
Internal Medicine Physician
Primary
45230
TN
208M00000X
Hospitalist Physician
4301074754
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514800
—
TN
01
—
1851396303
NPI #
MI
05
—
4846422
—
MI
01
—
70-0-F32947-0
BCBS CPIN #
MI
01
—
89033750
BCBS AL
AL
01
—
MN074754
BCBSM
MI
Enumeration date
06/20/2005
Last updated
11/04/2019
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