Individual
MR. STEVEN J NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2229 S MEMORIAL PL, SHEBOYGAN, WI 53081-3715
(920) 458-9301
(920) 458-9302
Mailing address
16800 WEST CLEVELAND AVE, NEW BERLIN, WI 53151-3533
(262) 432-2005
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2509
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38587100
—
WI
01
—
WI2509
EYEMED VISION NO.
—
Enumeration date
04/25/2006
Last updated
01/07/2008
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