Individual
DR. WILLARD JOHN NIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1505 SW CARY PKWY STE 200, CARY, NC 27511-6219
(919) 303-6890
(919) 460-0226
Mailing address
2000 PERIMETER PARK DR STE 200, MORRISVILLE, NC 27560-8442
(984) 215-4111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
394
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800F
BCBS
NC
01
—
1094498
CIGNA
NC
01
—
5452478
AETNA
NC
05
—
6901556
—
NC
Enumeration date
12/23/2005
Last updated
08/09/2021
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