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JOHN D NIEMELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7870W US HIGHWAY 2, MANISTIQUE, MI 49854-8992
(906) 341-2153
(906) 341-1878
Mailing address
1015 N 3RD ST, STE 6, MARQUETTE, MI 49855-3500
(906) 225-0181
(906) 225-0340

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002208
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
JN002208
MI
335E00000X
Prosthetic/Orthotic Supplier
5901002008
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134882948
MI
01
213E00000X
TAXONOMY
MI
01
4855201230
BCBS
MI
01
4882948
UPPER PENINSULA HLTH PLAN
MI
01
510E210880
BCBSM ORTHOTIST
MI
01
5790160001
ADMINSTAR FEDERAL DME
MI
01
5901002208
LICENSE
MI
01
611477200
US DEPARTMENT OF LABOR
MI
01
P00314266
RAILROAD MEDICARE
MI
Enumeration date
05/16/2006
Last updated
04/25/2017
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