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Individual

DR. PETER JOACHIM NIEMANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 785-0940
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13707
ND
207R00000X
Internal Medicine Physician
21685
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
81905
ND
Enumeration date
07/21/2009
Last updated
07/21/2022
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