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427 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 | |
(608) 839-0980 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 427 W Cottage Grove Rd, Cottage Grove, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1225441926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2723 (Wisconsin) | Primary |
Provider Name | David P Nelson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992878409 PECOS PAC ID: 3870775372 Enrollment ID: I20110304000148 |
Mailing Address | Practice Location Address |
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427 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 Ph: (608) 839-0980 | 427 W Cottage Grove Rd, Cottage Grove, WI 53527-9385 Ph: (608) 839-0980 |
David Paul Nelson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 427 W Cottage Grove Rd, Cottage Grove, WI 53527 Phone: 608-839-0980 Fax: 608-839-0982 |