Individual
EDDIE NELSON POWELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 831-5050
(920) 729-2104
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4229
(920) 993-5001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2008-00223
NC
207X00000X
Orthopaedic Surgery Physician
Primary
74376
WI
207X00000X
Orthopaedic Surgery Physician
ME134076
FL
207XX0801X
Orthopaedic Trauma Physician
MD431207
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023280000
—
FL
05
—
1020598790001
—
PA
05
—
2799066
—
OH
05
—
3810010940
—
WV
05
—
5909616
—
NC
Enumeration date
06/14/2007
Last updated
11/18/2020
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