Individual
MICHELLE MARIE NIEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
W5609 COUNTY ROAD A N, ELKHART LAKE, WI 53020-2031
(920) 627-4027
Mailing address
W5609 COUNTY ROAD A N, ELKHART LAKE, WI 53020-2031
(920) 627-4027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
110622-30
WI
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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