Individual
DR. JAMES LEROY NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2178
SD
207P00000X
Emergency Medicine Physician
27171
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1058677
—
IA
05
—
5605224
—
SD
Enumeration date
01/23/2006
Last updated
09/01/2010
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