Niemer, Mark William

Niemer, Mark William is an individual health care provider with primary practice located at 1500 Associates Dr , Dubuque IA 52002-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Niemer, Mark William can be contacted via phone (563) 584-4460.

Contact Information

Primary practice address
1500 Associates Dr Dubuque IA 52002-2201
Phone: (563) 584-4460
Fax: (563) 584-4395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 28785 Iowa
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 37106 Wisconsin

Profile Details

NPI number 1275585259
LBN Legal business name Niemer, Mark William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275585259 NPPES
Iowa MEDICAID 0083279

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