IAN R NELSON

FORT WAYNE, IN
NPI1043440852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IN  01075426A)
Additional Taxonomies207XX0005X Orthopaedic Surgery, Sports Medicine
(Licence: IN  01075426A)
Enumeration Date2009-07-15
Last Update Date2016-11-03
Business Address
-- IAN R NELSON M.D.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
-- IAN R NELSON M.D.
P.O. BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686