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Individual

DR. THOMAS MARK NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
920 E 1ST ST, SUITE P302, DULUTH, MN 55805-2201
(218) 249-6050
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 225-3317

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34418
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020052636
MEDICARE RR
MN
05
732708100
MN
Enumeration date
05/12/2006
Last updated
03/02/2021
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