person
Dr. Willard John Niemi, DPM
Foot & Ankle Surgery Podiatrist in Cary, North Carolina
NPI 1447237102

Willard John Niemi is a Foot & Ankle Surgery Podiatrist based in Morrisville, NC and is specialized in Foot & Ankle Surgery. Willard John Niemi practices in Cary, NC and has the professional credentials of DPM. The NPI Number for Willard John Niemi is 1447237102 and holds a License No. 394 (North Carolina).

The current practice location address for Willard John Niemi is 1505 Sw Cary Pkwy Ste 200, Cary, NC and can be reached out via phone at 919-303-6890 and via fax at 919-460-0226. You can also correspond with Willard John Niemi through the mailing address at 2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC - 27560-8442 (mailing address contact number: 984-215-4111).

Location: 1505 Sw Cary Pkwy Ste 200, Cary, NC, 27560-8442
person
Provider Profile Details
NPI Number
1447237102
Provider Name
Willard John Niemi
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1505 Sw Cary Pkwy Ste 200, Cary, NC, 27560-8442
Phone Number
919-303-6890
Fax Number
919-460-0226
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0800F 01 NC BCBS
5452478 01 NC AETNA
6901556 05 NC
1094498 01 NC CIGNA
institution
Provider Business Practice Location Address Details
Address
1505 Sw Cary Pkwy Ste 200
City
State
Zip
27511-6219
Phone Number
919-303-6890
Fax Number
919-460-0226
person
Provider Business Mailing Address Details
Address
1505 Sw Cary Pkwy Ste 200
City
State
Zip
27511-6219
Phone Number
919-303-6890
Fax Number
919-460-0226
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
394 (North Carolina)
Definition
Definition to come...
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