MICHAEL NELSON

PLYMOUTH, MN
NPI1003806027
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MN  D12133)
Enumeration Date2005-10-21
Last Update Date2007-07-08
Business Address
MICHAEL NELSON
13550 26TH AVE N
PLYMOUTH, MN 55441-3650
Phone number: 952-929-0641
Mailing Address
MICHAEL NELSON
5100 EDEN AVE
EDINA, MN 55436-2337
Phone number: 952-929-0641