Individual
MALINDA NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
300 E 109TH AVE, CROWN POINT, IN 46307-8693
(219) 662-2400
Mailing address
253 S HEATHER LN, CROWN POINT, IN 46307-9148
(219) 765-7850
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
360000659A
IN
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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