Individual
DANIEL F NIENDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
990 OAK RIDGE TPKE, OAK RIDGE, TN 37830-6976
(865) 835-1000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49379
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
49379
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000561
—
TN
Enumeration date
10/19/2006
Last updated
01/02/2024
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