Individual
ERIC R NIENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 883-8522
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-3635
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
47740
MN
2085R0202X
Diagnostic Radiology Physician
Primary
47740
MN
2085R0202X
Diagnostic Radiology Physician
64033
WI
2085U0001X
Diagnostic Ultrasound Physician
47740
MN
Other
Enumeration date
08/03/2005
Last updated
09/14/2020
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