| Doctor Name: | DR. JARED WYNN NELSON |
| NPI Number: | 1235455056 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MT186557 |
| Business Practice Address: | 2769 Heartland Drive Suite 105 Coralville, IA - 52241 |
| Business Phone Number: | 3195457300 |
| Business Fax Number: | 3195457314 |
| Mailing Address: | 2769 Heartland Drive, Suite 105 CORALVILLE |
| State: | IA |
| Postal Code: | 52241 |
| Phone Number: | 3195457310 |
| Fax Number: | 3195457314 |
| NPI Enumeration Date: | 04/19/2010 |
| NPI Last Update Date: | 06/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | MT186557 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |