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Contact Information

DOMINIC L VAN NIELEN, MD
19200 N KELSEY ST
MONROE, WA98272-1431
 Phone: 425-339-2433
 Fax: 425-339-8237
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DOMINIC L VAN NIELEN · (Male)

NPI # 1184990590
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2012
Last updated 08/31/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D94626
  • WA License # MD61002589
  • WA Medicaid 2249981
  • WA Other 466835 WA L&I
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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