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Individual

MR. DWAYNE O NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2799 WEST GRAND BLVD, DETROIT, MI 48202
(313) 916-2600
Mailing address
1 FORD PLACE, SUITE 2E, DETROIT, MI 48202-3450
(313) 874-4806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301504771
MI

Other

Enumeration date
04/02/2018
Last updated
07/02/2021
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