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John Niemela
Prosthetic/Orthotic Supplier in Marquette, Michigan
NPI 1114097474

John Niemela is a Prosthetic/Orthotic Supplier based in Marquette, MI. John Niemela practices in Marquette, MI. The NPI Number for John Niemela is 1114097474 and holds a License No. 5901002208 (Michigan).

The current practice location address for John Niemela is 1015 N 3Rd St, Marquette, MI and can be reached out via phone at 906-225-0181 and via fax at 906-225-0340.

Location: 1015 N 3Rd St, Marquette, MI, 49855-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114097474
Provider Name
John Niemela
Credential
Provider Entity Type
Organization
Address
1015 N 3Rd St, Marquette, MI, 49855-3500
Phone Number
906-225-0181
Fax Number
906-225-0340
Provider Enumeration Date
11/08/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4855201230 01 MI BCBSM
611477200 01 MI US DEPARTMENT OF LABOR
P00314266 01 MI RAILROAD MEDICARE
134882948 05 MI
5901002208 01 MI LICENSE
4882948 01 MI UPPER PENINSULA HLTH PLAN
510E210880 01 MI BCBSM ORTHOTIST
institution
Provider Business Practice Location Address Details
Address
1015 N 3Rd St
City
Marquette
State
Michigan
Zip
49855-3500
Phone Number
906-225-0181
Fax Number
906-225-0340
person
Provider Business Mailing Address Details
Address
1015 N 3Rd St
City
Marquette
State
Michigan
Zip
49855-3500
Phone Number
906-225-0181
Fax Number
906-225-0340
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
5901002208 (Michigan)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
5901002208 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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