Dale E Nelson OD

NPI 1083613830 - Optometrist - 152W00000X

NPI Details
NPI 1083613830
Gender Male
Enumeration Date 07/14/2005
Last Updated 11/04/2009
Entity Type Individual
Active Over 12 years ago
Practice Location
GLENCOE MN, 55336-2103, US
Phone (320) 864-6111
Fax (320) 864-6134
Business Location
4690 W ARM RD
SPRING PARK MN, 55384-9703, US
Phone (952) 471-0562
Fax (888) 770-8024
Taxonomy Code 152W00000X
License State Minnesota
License Number 1525
Remove 1083613830 NPI Number

According to our database, Dale E Nelson OD NPI is 1083613830, taxonomy code is 152W00000X and license number is 1525, license state is located at Minnesota. Dale E Nelson OD physically located at 1234 Greeley Ave N, Glencoe MN, 55336-2103. NPI Number Dale E Nelson OD has the Individual type.

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1083613830 NPI number is provided on an as is basis without warranty of any kind. 1083613830 is maintained by the National Plan & Provider Enumeration System. The contents of Dale E Nelson OD are for informational purposes only.