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Richard Clark Niessen SR., CP
Prosthetist in Mpls, Minnesota
NPI 1720318876

Richard Clark Niessen SR. is a Prosthetist based in Mpls, MN. Richard Clark Niessen SR. practices in Mpls, MN and has the professional credentials of CP. The NPI Number for Richard Clark Niessen SR. is 1720318876 and holds a License No. (Minnesota).

The current practice location address for Richard Clark Niessen SR. is 2025 East River Park Way, Mpls, MN and can be reached out via phone at 612-596-6100 and via fax at 612-330-5954.

Location: 2025 East River Park Way, Mpls, MN, 55414-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720318876
Provider Name
Richard Clark Niessen SR.
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
2025 East River Park Way, Mpls, MN, 55414-3604
Phone Number
612-596-6100
Fax Number
612-330-5954
Provider Enumeration Date
01/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2025 East River Park Way
City
Mpls
State
Minnesota
Zip
55414-3604
Phone Number
612-596-6100
Fax Number
612-330-5954
person
Provider Business Mailing Address Details
Address
2025 East River Park Way
City
Mpls
State
Minnesota
Zip
55414-3604
Phone Number
612-596-6100
Fax Number
612-330-5954
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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