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Individual
DR. TIMOTHY JAMES NIESEN
Active
Individual
DR. TIMOTHY JAMES NIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C1-0010245
DE
2085R0204X
Vascular & Interventional Radiology Physician
C1-0010245
DE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD461182
PA
Other
Enumeration date
04/19/2011
Last updated
07/07/2021
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