| NPI | 1164660650 |
|---|---|
| Doing Business As | MARK D NELSON, DPM |
| Entity Type | Organization |
| Authorized Contact | MARK D NELSON Presiden 920-725-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WI 862025) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |