Individual
DR. MORGAN ALYSSA NIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
10120 AUBURN PARK DR, FORT WAYNE, IN 46825-2392
(260) 426-8061
(260) 426-8062
Mailing address
10120 AUBURN PARK DR, FORT WAYNE, IN 46825-2392
(260) 426-8061
(260) 426-8062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013654A
IN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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