Timothy Nelson, OD

NPI #1215091616 in Maple Grove, Minnesota

Provider Information

NPI Number: 1215091616
Entity Type: Individual
Name: Timothy Nelson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 20, 2006
Last Updated: Dec 11, 2018

Practice Location

Address: 11330 FOUNTAINS DR
City: Maple Grove
State: Minnesota
ZIP Code: 55369
Phone: (763) 494-8063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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