Daniel Nelson

NPI #1083302087 in Port Washington, Wisconsin

Provider Information

NPI Number: 1083302087
Entity Type: Individual
Name: Daniel Nelson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 27, 2023
Last Updated: May 4, 2023

Practice Location

Address: 1409 N WISCONSIN ST
City: Port Washington
State: Wisconsin
ZIP Code: 53074-1249
Phone: (612) 695-5925

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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