NPI 1871521757

Thomas Edwin Nielsen, MD

Practitioner Phlebology Physician Bloomington, IL

Practice location

Address: 3302 Gerig Dr Suite 100, Bloomington, IL 61704-6365
Phone: (309) 862-4000
Fax: (309) 862-4055

Registered specialties

Phlebology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 202K00000X Licence 036065215 (IL)

Other Phlebology providers in Illinois →

Registry record

NPI: 1871521757
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jun 2006
Record last updated: 25 Mar 2014

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.