Mark Nelson

NPI #1457590994 in Kettering, Ohio

Provider Information

NPI Number: 1457590994
Entity Type: Individual
Name: Mark Nelson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Perfusionist
Enumeration Date: Feb 6, 2009
Last Updated: Feb 6, 2009

Practice Location

Address: 3533 SOUTHERN BLVD
Address 2: STE 5650
City: Kettering
State: Ohio
ZIP Code: 45429-1264
Phone: (937) 294-3611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Perfusionist	242T00000X	Primary

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