Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Nathanael Nelson

Individual provider Physician Assistant · NPI 1174043038

Peter Nathanael Nelson is a Physician Assistant in Troy, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

44201 Dequindre Rd
Troy, MI 48085-1117
Phone: (248) 964-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008208 (MI)

Record details

NPI number1174043038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2017
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849

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