Individual
ROBERT NIERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10120 AUBURN PARK DR, FORT WAYNE, IN 46825-2392
(260) 426-8061
Mailing address
12178 FAZIO DR, FORT WAYNE, IN 46818-0122
(260) 415-5919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12013808A
IN
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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