Provider Demographics
NPI:1326154006
Name:NELSON, MAUREEN MURDOCH (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:MURDOCH
Last Name:NELSON
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:DR
Other - First Name:MAUREEN
Other - Middle Name:
Other - Last Name:MURDOCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD MPH
Mailing Address - Street 1:ONE VETERANO DR
Mailing Address - Street 2:SECTION GENERAL INTERNAL MEDICINE 1110 MVAMC
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417
Mailing Address - Country:US
Mailing Address - Phone:612-467-2679
Mailing Address - Fax:612-725-2118
Practice Address - Street 1:ONE VETERANO DR
Practice Address - Street 2:SECTION GENERAL INTERNAL MEDICINE 1110 MVAMC
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417
Practice Address - Country:US
Practice Address - Phone:612-467-2679
Practice Address - Fax:612-725-2118
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine