Individual
ROBERT W. NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
(507) 474-3392
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
(507) 474-3392
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52693
MN
207R00000X
Internal Medicine Physician
L4594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100159800A
—
OK
05
—
131010100
—
TX
01
—
131010101
FIRSTCARE COMMERCIAL
TX
05
—
151183401
—
TX
05
—
77871367
—
NM
01
—
78718
PRESBYTERIAN COMMERCIAL
NM
05
—
78718
—
NM
01
—
86723Z
HMO BLUE
TX
01
—
8B2602
BC/BS
TX
01
—
A535
TRIWEST
NM
Enumeration date
10/18/2005
Last updated
02/29/2012
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