MICAH JON NIEBOER

ROCHESTER, MN
NPI1336702224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MN  68395)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: MN  30229)
207X00000X Orthopaedic Surgery
(Licence: FL  ME168209)
Enumeration Date2019-04-17
Last Update Date2025-07-30
Business Address
MICAH JON NIEBOER MD
200 1ST ST SW
ROCHESTER, MN 55905-2305
Phone number: 507-284-2511
Mailing Address
MICAH JON NIEBOER MD
PO BOX 860912
MINNEAPOLIS, MN 55486-0912
Phone number: 507-284-2511