Individual
AMY K NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2525 5TH AVE S, ESCANABA, MI 49829
(906) 233-4190
(906) 789-3479
Mailing address
2525 5TH AVE S, ESCANABA, MI 49829
(906) 233-4190
(906) 789-3479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101025626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356736995
—
MI
Enumeration date
03/31/2015
Last updated
03/02/2022
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