Individual
DR. STEPHEN M NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8303 DODGE ST, OMAHA, NE 68114-4108
(402) 354-4540
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
11985
NE
207ZD0900X
Dermatopathology (Pathology) Physician
32242
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11985
NE
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
32242
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940718
—
IA
05
—
47037660422
—
NE
Enumeration date
08/30/2006
Last updated
09/06/2007
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