Individual
JOHN NIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10930 UNIVERSITY AVE NW, COON RAPIDS, MN 55448-6120
(763) 755-6316
Mailing address
10930 UNIVERSITY AVE NW, COON RAPIDS, MN 55448-6120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122477
MN
183500000X
Pharmacist
18271
WI
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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