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Organization

JAY WALTER NIELSEN MD INC

Active
Other names
Spine and Joint Care Inc
Organization subpart
No

Provider details

NPI number
Authorized official
JAY W NIELSEN MD (OWNER)
(419) 897-6490
Entity
Organization

Contact information

Practice address
1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
(419) 897-6490
(419) 897-0544
Mailing address
1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
(419) 897-6490
(419) 897-0544

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35-04-0332-N
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0419158
OH
Enumeration date
11/20/2007
Last updated
06/02/2010
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