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Individual
JOHN D NIEMELA
Active
Individual
JOHN D NIEMELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002208
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
JN002208
MI
335E00000X
Prosthetic/Orthotic Supplier
5901002008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134882948
—
MI
01
—
213E00000X
TAXONOMY
MI
01
—
4855201230
BCBS
MI
01
—
4882948
UPPER PENINSULA HLTH PLAN
MI
01
—
510E210880
BCBSM ORTHOTIST
MI
01
—
5790160001
ADMINSTAR FEDERAL DME
MI
01
—
5901002208
LICENSE
MI
01
—
611477200
US DEPARTMENT OF LABOR
MI
01
—
P00314266
RAILROAD MEDICARE
MI
Enumeration date
05/16/2006
Last updated
04/25/2017
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