Galen Carlos Nelson, PHYSICIAN ASSISTANT

NPI #1215926324 in Beloit, Wisconsin

Provider Information

NPI Number: 1215926324
Entity Type: Individual
Name: Galen Carlos Nelson, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Oct 20, 2005
Last Updated: Oct 7, 2021

Practice Location

Address: 74 ECLIPSE CTR
City: Beloit
State: Wisconsin
ZIP Code: 53511-3550
Phone: (608) 361-6051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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