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NPI Code Detail

MEDICARE: CHRISTINE M NIESE M.D.

MEDICARE: CHRISTINE M NIESE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35071223OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629022173
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE M NIESE M.D.
Provider Business Mailing Address
First Line : 7595 COUNTY ROAD 236
Second Line :
City : FINDLAY
State : OH
Zip : 45840-8738
Country : US
Telephone Number : 419-427-1984
Fax Number : 419-427-2864
Provider Business Practice Location Address
First Line : 7595 COUNTY ROAD 236
Second Line :
City : FINDLAY
State : OH
Zip : 45840-8738
Country : US
Telephone Number : 419-427-1984
Fax Number : 419-427-2864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/13/2007

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Directions to “ CHRISTINE M NIESE M.D.” Practice Location

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