Carol Jane Nelson MD

NPI 1033281589 - Internal Medicine - 207R00000X

NPI Details
NPI 1033281589
Gender Female
Enumeration Date 11/13/2006
Last Updated 10/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
410 CHURCH ST SE
BOYNTON HEALTH SERVICE
MINNEAPOLIS MN, 55455-0340, US
Phone (612) 625-8400
Fax (612) 625-0902
Business Location
410 CHURCH ST SE
MINNEAPOLIS MN, 55455-0340, US
Phone (612) 625-4607
Fax (612) 625-0902
Toxanomy
Taxonomy Code 207R00000X
License State Minnesota
License Number 28293
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According to our database, Carol Jane Nelson MD NPI is 1033281589, taxonomy code is 207R00000X and license number is 28293, license state is located at Minnesota. Carol Jane Nelson MD physically located at 410 Church St Se, Minneapolis MN, 55455-0340. NPI Number Carol Jane Nelson MD has the Individual type.

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1033281589 NPI number is provided on an as is basis without warranty of any kind. 1033281589 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Jane Nelson MD are for informational purposes only.