Individual
DR. SHANNON LEE NIERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6320 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 432-7339
Mailing address
3007 SHAWNEE DR, FORT WAYNE, IN 46807-1443
(260) 797-2146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002640A
IN
Other
Enumeration date
04/18/2010
Last updated
12/13/2012
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