Individual
BRIAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7714 BROOKLYN BLVD, BROOKLYN PARK, MN 55443-2980
(763) 566-3919
Mailing address
7918 CHESSHIRE LN N, MAPLE GROVE, MN 55311-2208
(763) 416-9987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6432
LICENSE#
MN
Enumeration date
11/06/2006
Last updated
07/08/2007
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