Individual
MICHAEL T NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RIVERSIDE PROFESSIONAL BUILDING, SECOND FLOOR, SUITE 200, 606 24TH AVENUE SOUTH, MINNEAPOLIS, MN 55454
(612) 273-5700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 420 DELAWARE STREET SE, MMC 292, MINNEAPOLIS, MN 55455
(612) 273-5700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21958
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052683
—
MT
05
—
0529255
—
IA
01
—
1023526
PREFERRED ONE
MN
01
—
117050
UCARE
MN
01
—
156505
FAIRVIEW
MN
01
—
16-00526
MEDICA CHOICE
MN
01
—
16-02032
MEDICA PRIMARY
MN
05
—
447578000
—
MN
01
—
75R76NE
BLUE CROSS BLUE SHIELD
MN
01
—
949395
ARAZ
MN
01
—
HP11112
HEALTH PARTNERS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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