Individual
EMILY NIEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2176 FORT ST, LINCOLN PARK, MI 48146-2405
(313) 768-3290
(877) 409-3290
Mailing address
903 E SUNNYBROOK DR, ROYAL OAK, MI 48073-2791
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011420
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2022
Last updated
03/05/2026
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