Individual
DR. JAMES NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCPC
Contact information
Practice address
1374 CLARKSON CLAYTON CTR, #231, ELLISVILLE, MO 63011-2145
(314) 952-1145
Mailing address
1374 CLARKSON CLAYTON CTR, #231, ELLISVILLE, MO 63011-2145
(314) 952-1145
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2003020142
MO
Other
Enumeration date
01/04/2006
Last updated
07/19/2007
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