| Dr J Michael Nelson, DO | |
|
N10561 Grandview Ln, Ironwood, MI 49938-9622 | |
| (906) 932-2525 | |
| Not Available |
| Full Name | Dr J Michael Nelson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | N10561 Grandview Ln, Ironwood, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992790570 | NPI | - | NPPES |
| 2576485 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101014291 (Michigan) | Primary |
| 207P00000X | Emergency Medicine | 34.008517 (Ohio) | Secondary |
| Entity Name | Promedica Central Corporation Of Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588624696 PECOS PAC ID: 7012902265 Enrollment ID: O20040416001163 |
| Entity Name | Aspirus Ironwood Hospital & Clinics Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1649297342 PECOS PAC ID: 6406756691 Enrollment ID: O20070223000676 |
| Entity Name | Promedica Monroe Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194078055 PECOS PAC ID: 2365696176 Enrollment ID: O20130201000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J Michael Nelson, DO 707 Conklin St, Tecumseh, MI 49286-1011 Ph: (517) 423-5808 | Dr J Michael Nelson, DO N10561 Grandview Ln, Ironwood, MI 49938-9622 Ph: (906) 932-2525 |
Dr. Neal Schroeter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: N10561 Grandview Ln, Ironwood, MI 49938 Phone: 906-932-2525 |