Individual
MARTIN M. NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3231 WARING CT STE L, OCEANSIDE, CA 92056-4510
(760) 758-7474
(760) 758-7362
Mailing address
3231 WARING CT STE L, OCEANSIDE, CA 92056-4510
(760) 758-7474
(760) 758-7362
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G25528
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G255280
—
CA
Enumeration date
07/18/2006
Last updated
07/08/2007
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