Individual
ALEX WAYNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 COUNTY ROAD E W, SAINT PAUL, MN 55112-3841
(651) 529-8316
Mailing address
11816 KUMQUAT ST NW, COON RAPIDS, MN 55448-2337
(763) 767-3350
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
NA
MN
Other
Enumeration date
12/26/2025
Last updated
12/26/2025
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