Douglas R Nelson, MD | |
800 West Ave S, La Crosse, WI 54601-8806 | |
(608) 392-9881 | |
Not Available |
Full Name | Douglas R Nelson |
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Gender | Male |
Speciality | Allergy & Immunology |
Location | 800 West Ave S, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356331862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 30242 (Wisconsin) | Secondary |
207K00000X | Allergy & Immunology | 30242 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Mailing Address | Practice Location Address |
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Douglas R Nelson, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940 | Douglas R Nelson, MD 800 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 392-9881 |
Dr. Theodor Habel, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 615 10th St S, La Crosse, WI 54601 Phone: 608-782-2027 Fax: 608-782-6172 | |
Dr. George F Kroker, M.D. Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 615 10th St S, La Crosse, WI 54601 Phone: 608-782-2027 | |
Dr. John P. Wheeler Jr., MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 |