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1972009751
DWAYNE O NELSON
DETROIT, MI
NPI
1972009751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301504771)
Enumeration Date
2018-04-02
Last Update Date
2021-07-02
Business Address
Mr. DWAYNE O NELSON M.D.
2799 WEST GRAND BLVD
DETROIT, MI 48202
Phone number: 313-916-2600
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Mailing Address
Mr. DWAYNE O NELSON M.D.
1 FORD PLACE SUITE 2E
DETROIT, MI 48202-3450
Phone number: 313-874-4806
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