| Organization Name: | ALLAN D. NELSON, M.D. |
| NPI Number: | 1932317450 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLAN D. NELSON (OWNER) |
| Mailing Address: | 500 Hancock St Pentwater |
| State: | MI US |
| Postal Code: | 494490619 |
| Phone Number: | 2318697051 |
| Fax Number: | 2318695536 |
| NPI Enumeration Date: | 05/18/2007 |
| NPI Last Update Date: | 07/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 4301036682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |