Individual
MICHELLE DIANNE NIEHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
(217) 277-2253
Mailing address
1 UNIVERSITY CIR, MACOMB, IL 61455-1367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209.019108
IL
363L00000X
Nurse Practitioner
Primary
277004354
IL
Other
Enumeration date
04/02/2019
Last updated
07/23/2025
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