Michael Nelson

NPI #1003806027 in Plymouth, Minnesota

Provider Information

NPI Number: 1003806027
Entity Type: Individual
Name: Michael Nelson
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 21, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 13550 26TH AVE N
City: Plymouth
State: Minnesota
ZIP Code: 55441-3650
Phone: (952) 929-0641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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