Individual
MR. JEFF LEE NIESPODZIANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 259-9668
(574) 259-9671
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 259-9668
(574) 259-9671
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000582
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090240A
—
IN
Enumeration date
09/19/2005
Last updated
08/02/2016
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