Provider Demographics
NPI:1851499941
Name:POU, NELSON R (MD)
Entity Type:Individual
Prefix:DR
First Name:NELSON
Middle Name:R
Last Name:POU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:408 LEESON AVE
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-1670
Mailing Address - Country:US
Mailing Address - Phone:231-313-5703
Mailing Address - Fax:231-935-6081
Practice Address - Street 1:7985 S MACKINAW TRL
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8111
Practice Address - Country:US
Practice Address - Phone:231-876-6100
Practice Address - Fax:231-779-5290
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2013-0965207V00000X
PR12031207V00000X
MI4301087009207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology