Individual
JEANETTE NIEMISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8512 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 459-1760
(734) 459-1797
Mailing address
8512 N CANTON CENTER RD, CANTON, MI 48187-1310
(734) 459-1760
(734) 459-1797
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301080094
MI
Other
Enumeration date
07/21/2006
Last updated
07/22/2010
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