Individual
ANDREW JOHN NIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 249-7598
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 249-7598
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001045
IA
Other
Enumeration date
09/01/2010
Last updated
10/05/2016
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