Individual
MARY ELIZABETH NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-1000
Mailing address
3370 XENWOOD AVE S, ST LOUIS PARK, MN 55416-2137
(612) 889-5689
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
58823
MN
Other
Enumeration date
04/17/2012
Last updated
07/10/2016
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