Arthur Niemela

Individual provider Active NPI Chiropractor · Glencoe, MN

NPI 1316396120 · NPPES record last updated Jun 13, 2016

Key facts

NPI
1316396120
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
6236 (MN)
Practice address
920 10TH St E
Glencoe, MN 55336-2301
Phone
(320) 864-6249
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6236MNMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6236 MN Yes

Addresses

Primary practice location

920 10TH St E
Glencoe, MN 55336-2301

Mailing address

920 10TH St E
Glencoe, MN 55336-2301
Phone (320) 864-6249

Other providers in Glencoe, MN

All providers in Glencoe, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.