Individual
DR. J MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
N10561 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-2525
Mailing address
707 CONKLIN ST, TECUMSEH, MI 49286-1011
(517) 423-5808
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34.008517
OH
207P00000X
Emergency Medicine Physician
Primary
5101014291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2576485
—
OH
Enumeration date
09/20/2005
Last updated
08/16/2023
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