Individual
DR. ROBERT C NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3870 COLUMBIA AVE, OSAGE BEACH, MO 65065-8689
(573) 302-7490
(573) 302-7895
Mailing address
3870 COLUMBIA AVE, OSAGE BEACH, MO 65065-8689
(573) 302-7490
(573) 302-7895
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
DO103086
MO
208D00000X
General Practice Physician
Primary
103086
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246670707
—
MO
Enumeration date
01/12/2006
Last updated
02/12/2025
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