Individual
BRAD ALLEN NIESET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1645 VANDELAY AVE STE 301, HELENA, MT 59601-3929
(406) 389-2520
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12203
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2311984
—
OH
Enumeration date
10/05/2005
Last updated
01/17/2025
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