Individual
JEAN L NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9463 HOLLY RD, SUITE 103, GRAND BLANC, MI 48439
(810) 603-3700
(810) 603-3704
Mailing address
9463 HOLLY RD, SUITE 103, GRAND BLANC, MI 48439
(810) 603-3700
(810) 603-3704
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5100010488
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4213465
—
MI
Enumeration date
09/07/2006
Last updated
06/17/2014
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