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1174043038
PETER NATHANAEL NELSON
TROY, MI
NPI
1174043038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008208)
Enumeration Date
2017-06-22
Last Update Date
2020-12-23
Business Address
PETER NATHANAEL NELSON
44201 DEQUINDRE RD
TROY, MI 48085-1117
Phone number: 248-964-5000
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Mailing Address
PETER NATHANAEL NELSON
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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