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Individual
DR. JOHN F NIELSEN
Active
Individual
DR. JOHN F NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
75212-20
WI
207Q00000X
Family Medicine Physician
J8333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099875903
—
TX
05
—
100170914
—
WI
01
—
8G9170
BLUE CROSS
TX
Enumeration date
06/14/2005
Last updated
12/10/2024
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