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NPI Code Detail

MEDICARE: DR. MAUREEN MURDOCH NELSON MD MPH

MEDICARE: DR. MAUREEN MURDOCH NELSON MD MPH
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
1207R00000XInternal Medicine Physician33600MN

General Provider Information

NPI Number : 1326154006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAUREEN MURDOCH NELSON MD MPH
Provider Business Mailing Address
First Line : ONE VETERANO DR
Second Line : SECTION GENERAL INTERNAL MEDICINE 1110 MVAMC
City : MINNEAPOLIS
State : MN
Zip : 55417
Country : US
Telephone Number : 612-467-2679
Fax Number : 612-725-2118
Provider Business Practice Location Address
First Line : ONE VETERANO DR
Second Line : SECTION GENERAL INTERNAL MEDICINE 1110 MVAMC
City : MINNEAPOLIS
State : MN
Zip : 55417
Country : US
Telephone Number : 612-467-2679
Fax Number : 612-725-2118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 06/13/2013

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