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Contact Information

MICAH P NIERMANN, MD
200 UNIVERSITY AVE E
SAINT PAUL, MN55101
 Phone: 651-291-2848
 Fax: 651-602-6885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MICAH P NIERMANN · (Male)

NPI Number 1639213994
Status Active
Credentials MD
Entity Individual
Enumeration date 02/19/2007
Last updated 07/18/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 17822
  • MN Other H400537804 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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