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Individual

DR. MICHAEL NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
905 MAIN ST, NASHVILLE, TN 37206
(615) 227-3000
Mailing address
2711 FOSTER AVE, NASHVILLE, TN 37210-5307
(615) 227-3000

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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