Individual
CHAD MICHAEL NIEMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
222 MARKET STREET, LAKE PARK, IA 51347-0246
(712) 832-3056
(712) 832-3360
Mailing address
PO BOX 246, LAKE PARK, IA 51347-0246
(712) 832-3056
(712) 832-3360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454371
—
IA
Enumeration date
10/04/2006
Last updated
11/30/2007
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