person
David L Nieman, PA-C
Medical Physician Assistant in Glendive, Montana
NPI 1760568869

David L Nieman is a Medical Physician Assistant based in Glendive, MT and is specialized in Medical. David L Nieman practices in Glendive, MT and has the professional credentials of PA-C. The NPI Number for David L Nieman is 1760568869 and holds a License No. PA10004978 (Montana).

The current practice location address for David L Nieman is 107 Dilworth St, Glendive, MT and can be reached out via phone at 406-345-8935 and via fax at 406-345-8908. You can also correspond with David L Nieman through the mailing address at 107 DILWORTH ST, GLENDIVE, MT - 59330-2053 (mailing address contact number: 406-345-8935).

Location: 107 Dilworth St, Glendive, MT, 59330-2053
person
Provider Profile Details
NPI Number
1760568869
Provider Name
David L Nieman
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
107 Dilworth St, Glendive, MT, 59330-2053
Phone Number
406-345-8935
Fax Number
406-345-8908
Provider Enumeration Date
10/31/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0207865 01 WA L&I
8941215 01 WA L&I CVC
8500225 05 WA
9947NI 01 WA REGENCE RIDER
institution
Provider Business Practice Location Address Details
Address
107 Dilworth St
City
State
Zip
59330-2053
Phone Number
406-345-8935
Fax Number
406-345-8908
person
Provider Business Mailing Address Details
Address
107 Dilworth St
City
State
Zip
59330-2053
Phone Number
406-345-8935
Fax Number
406-345-8908
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10004978 (Washington)
Definition
Definition to come...
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