Individual
WILLIAM N NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12631 E. 17TH AVE., ACADEMIC OFFICE ONE, MAIL STOP F493 C/O MALLORY PRIDY, AURORA, CO 80045
(720) 583-4287
(888) 310-3542
Mailing address
12631 E. 17TH AVE., ACADEMIC OFFICE ONE, MAIL STOP F493 C/O MALLORY PRIDY, AURORA, CO 80045
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0052588
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2011
Last updated
07/17/2015
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