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NPI Code Detail

MEDICARE: ERIC R NELSON MD

MEDICARE:   ERIC R NELSON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician53439-020WI

General Provider Information

NPI Number : 1164443875
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC R NELSON MD
Provider Business Mailing Address
First Line : 420 E DIVISION ST
Second Line :
City : FOND DU LAC
State : WI
Zip : 54935-4560
Country : US
Telephone Number : 920-926-8340
Fax Number : 920-926-8370
Provider Business Practice Location Address
First Line : 608 W BROWN ST
Second Line :
City : WAUPUN
State : WI
Zip : 53963-1788
Country : US
Telephone Number : 920-324-6802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 10/21/2020

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Directions to “ ERIC R NELSON MD” Practice Location

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