Gretchen Mary Niemioja M.D.

NPI 1376707836 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1376707836
Gender Female
Enumeration Date 07/14/2008
Last Updated 01/30/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
640 JACKSON ST
MAIL STOP 11503G
SAINT PAUL MN, 55101-2502, US
Phone (651) 254-3705
Fax (651) 254-3123
Business Location
640 JACKSON ST
MAIL STOP 11503G
SAINT PAUL MN, 55101-2502, US
Phone
Fax
Toxanomy
Taxonomy Code 208100000X
License State Minnesota
License Number 53426
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According to our database, Gretchen Mary Niemioja M.D. NPI is 1376707836, taxonomy code is 208100000X and license number is 53426, license state is located at Minnesota. Gretchen Mary Niemioja M.D. physically located at 640 Jackson St, Saint Paul MN, 55101-2502. NPI Number Gretchen Mary Niemioja M.D. has the Individual type.

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1376707836 NPI number is provided on an as is basis without warranty of any kind. 1376707836 is maintained by the National Plan & Provider Enumeration System. The contents of Gretchen Mary Niemioja M.D. are for informational purposes only.