Susan J Anderson-nelson M.D.

NPI 1013904986 - Ophthalmology - 207W00000X

NPI Details
NPI 1013904986
Gender Female
Enumeration Date 10/05/2005
Last Updated 03/19/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
2015 N MAIN ST
WHEATON IL, 60187-3152, US
Phone (630) 668-8250
Fax (630) 668-8916
Business Location
2015 N MAIN ST
WHEATON IL, 60187-3152, US
Phone (630) 668-8250
Fax (630) 668-8916
Toxanomy
Taxonomy Code 207W00000X
License State Illinois
License Number 36-079057
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According to our database, Dr. Susan J Anderson-nelson M.D. NPI is 1013904986, taxonomy code is 207W00000X and license number is 36-079057, license state is located at Illinois. Susan J Anderson-nelson M.D. physically located at 2015 N Main St, Wheaton IL, 60187-3152. NPI Number Susan J Anderson-nelson M.D. has the Individual type.

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1013904986 NPI number is provided on an as is basis without warranty of any kind. 1013904986 is maintained by the National Plan & Provider Enumeration System. The contents of Susan J Anderson-nelson M.D. are for informational purposes only.