NPI 1053244558

Tanner Niemann

Practitioner Intermediate Emergency Medical Technician Mendota Heights, MN

Practice location

Address: 2520 Pilot Knob Rd STE 250, Mendota Heights, MN 55120-1347
Phone: (651) 224-8264
Mailing address: 6480 153rd Way NW, Ramsey, MN 55303-4402

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X

Other Emergency Medical Technician, Intermediate providers in Minnesota →

Registry record

NPI: 1053244558
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2026
Record last updated: 4 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.