Individual
DR. WILLIAM JOSEPH NIENABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 SAINT FRANCIS DR STE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2007033628
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720296940
—
WY
01
—
9019A
LICENSE
WY
Enumeration date
05/20/2007
Last updated
03/01/2021
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