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Individual

BRIAN DEANE NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
1200 SIXTH AVE N, ST CLOUD, MN 56303-2735
(320) 251-2700
(320) 240-2118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40084
MN
208M00000X
Hospitalist Physician
Primary
40084
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0407013
MEDICA HEALTH PLANS
01
1012483
PREFERRED ONE
01
1033658
ARAZ GROUP/AMERICA'S PPO
01
106868
U-CARE
01
313K7NE
BLUE CROSS BLUE SHIELD
01
400219900
MEDICAL ASSISTANCE
05
400219900
MN
01
6D053CE
BLUE CROSS BLUE SHIELD
01
C11369
RR MEDICARE
01
HP20578
HEALTH PARTNERS
01
P00174824
RR MEDICARE
Enumeration date
10/14/2005
Last updated
11/28/2023
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