Individual
JONATHAN MAXWELL NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
LAKE ORION: 1236 S. LAPEER RD., ORION CHARTER TOWNSHIP,, MI 48360
(248) 929-9220
Mailing address
LAKE ORION: 1236 S. LAPEER RD., ORION CHARTER TOWNSHIP,, MI 48360
(248) 929-9220
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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