| Mary Nelson Md Pc | |
|
411 10th St Se Suite 1400 Cedar Rapids IA 52403-2442 | |
| (319) 365-8616 | |
| (319) 297-7377 |
| Full Name | Mary Nelson Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 411 10th St Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Mary Nelson (PRESIDENT) |
| Authorized Official Contact | 3193658616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Nelson Md Pc 411 10th St Se Suite 1400 Cedar Rapids IA 52403-2442 Ph: (319) 365-8616 | Mary Nelson Md Pc 411 10th St Se Suite 1400 Cedar Rapids IA 52403-2442 Ph: (319) 365-8616 |
| NPI Number | 1104163179 |
|---|---|
| Provider Enumeration Date | 01/11/2013 |
| Last Update Date | 01/11/2013 |
| Medicare PECOS PAC ID | 5395982938 |
|---|---|
| Medicare Enrollment ID | O20130520000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104163179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20657 (Iowa) | Primary |
| Provider Name | Mary A Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225015670 PECOS PAC ID: 7911899224 Enrollment ID: I20100213000059 |
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