James Nelson, DPM
Podiatrist in Wyoming, MI. Individual provider (NPI-1).
NPI number1346356219
StatusActive
Last updated in NPPESNov 21, 2007
Details
- NPI
- 1346356219
- Entity type
- Individual (NPI-1)
- Name
- James Nelson
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 22, 2006
- Last updated
- Nov 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 5901001738 | MI | Yes |
Practice location
4845 Division Ave SWyoming, MI 49548-4498
Phone 616-531-3059
Mailing address
1773 Woodside Trl NwGrand Rapids, MI 49504-2580
Phone 616-453-1835 · Fax 616-453-1725
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