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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN MAXWELL NIELSEN

Active

JONATHAN MAXWELL NIELSEN is a Optician healthcare provider located in ORION CHARTER TOWNSHIP,, Michigan. NPI 1508645342 is currently active in the NPPES registry. Verify at CMS.

Optician · ORION CHARTER TOWNSHIP,, MI

Registration Details

NPI Number
1508645342
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2023 (2.8725139327498 yrs)
Last Updated
Sep 21, 2023

Practice Information

Address
LAKE ORION: 1236 S. LAPEER RD.
ORION CHARTER TOWNSHIP,, MI, 48360
Browse MI providers · Browse ZIP 48360
Phone
2489299220
Primary Specialty
Optician
156F00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.