Individual
MARK D NIEHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7400
(434) 422-1919
(434) 402-4510
Mailing address
406 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7400
(434) 422-1919
(434) 202-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101234414
VA
208000000X
Pediatrics Physician
0101234414
VA
Other
Enumeration date
06/03/2006
Last updated
04/07/2025
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