Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY D NIETZ, PA-C
ActiveMedical Physician Assistant · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1780655472
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2006 (20.224432496681 yrs)
- Last Updated
- Sep 30, 2010
- Licenses
-
9489 (MN)9489 (MN)
Practice Information
- Address
-
1 VETERANS DRMINNEAPOLIS, MN, 554172309Browse MN providers · Browse ZIP 55417
- Phone
- 6127252000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Surgical Physician Assistant
Other Medical Physician Assistant Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| PATRICIA L CAMPBELL | PA-C | 1235130428 |
| MARK WINKLER | PA-C | 1043281678 |
| MRS. MAMTA RANI X | PA-C | 1770557514 |
| MS. SARAH ANNE BOLSTAD | PAC | 1558323352 |
| ERIC J MEYER | PA-C | 1649209966 |
| NADINE MILLER | — | 1811929870 |
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.