Individual
EDWIN EUGENE NIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
629 1ST AVE, TWO HARBORS, MN 55616-1505
(218) 834-5520
(218) 834-4264
Mailing address
1401 EAST FIRST STREET, DULUTH, MN 55805
(218) 728-4491
(218) 728-4404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2144
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078047200
—
MN
Enumeration date
06/30/2006
Last updated
09/15/2014
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