Individual
RICHARD S NIEDZIELSKI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
303 CATLIN ST, BUFFALO, MN 55313-1947
(763) 682-1212
Mailing address
14700 28TH AVE N, SUITE 20, PLYMOUTH, MN 55447-4835
(763) 559-3779
(763) 450-3986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R091437-4
MN
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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