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Individual

DENNIS RICHARD NIESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 MEDICAL PARK, SUITE 306, WHEELING, WV 26003-6390
(304) 243-7030
(304) 243-4282
Mailing address
20 MEDICAL PARK, SUITE 306, WHEELING, WV 26003-6390
(304) 243-7030
(304) 243-4282

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12719
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0530027
OH
01
12719D
HEALTH PLAN OF UPPER OH V
01
55068028400
OHIO BWC
OH
Enumeration date
08/09/2005
Last updated
07/08/2007
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