Provider Demographics
NPI:1104900323
Name:NELSON, AARON DOUGLAS (DO)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:DOUGLAS
Last Name:NELSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:NORTHERN INDIANA VA HEALTHCARE SYSTEM
Mailing Address - Street 2:2121 LAKE AVE, DEPARTMENT OF SURGERY
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46805
Mailing Address - Country:US
Mailing Address - Phone:260-426-5431
Mailing Address - Fax:
Practice Address - Street 1:NORTHERN INDIANA VA HEALTHCARE SYSTEM
Practice Address - Street 2:2121 LAKE AVE, DEPARTMENT OF SURGERY
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46805
Practice Address - Country:US
Practice Address - Phone:260-426-5431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02003040A207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine