Individual
DR. DANA J NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1919 ELM ST N, FARGO, ND 58102
(907) 748-0376
Mailing address
915 BROADWAY N APT 2, FARGO, ND 58102-3890
(907) 748-0376
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
07/14/2019
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