NPI 1720318876

Richard Clark Niessen, CP

Practitioner Prosthetist Mpls, MN

Practice location

Address: 2025 East River Park Way Shriners Hospitals for Children Twin Cities, Mpls, MN 55414-3604
Phone: (612) 596-6100
Fax: (612) 330-5954

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

Other Prosthetist providers in Minnesota →

Registry record

NPI: 1720318876
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jan 2010
Record last updated: 12 Jan 2010

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.