Individual
MR. WILLI R NIEDERMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 26TH ST, SUITE 150, PRAIRIE DU SAC, WI 53578-2204
(608) 643-2471
(608) 643-4788
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-2471
(608) 643-4788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20070
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30542100
—
WI
Enumeration date
12/21/2005
Last updated
10/29/2014
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