Individual
MIRANDA J NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4845 WHITE ST, VESPER, WI 54489-9439
(715) 315-1285
Mailing address
4845 WHITE ST, VESPER, WI 54489-9439
(715) 315-1285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WI
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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