# DR. STEPHEN M NIELSEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124137153
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 11985 | NE | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | 32242 | IA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 11985 | NE | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 32242 | IA | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/06/2007