Individual
JOSEPH STANLEY NISKANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 CUMBERLAND AVE STE 225, WEST LAFAYETTE, IN 47906-1343
(765) 464-2991
Mailing address
1305 CUMBERLAND AVE STE 225, WEST LAFAYETTE, IN 47906-1343
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
03/01/2021
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