RICHARD CLARK NIESSEN

MPLS, MN
NPI1720318876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Enumeration Date2010-01-12
Last Update Date2010-01-12
Business Address
RICHARD CLARK NIESSEN C.P.
2025 EAST RIVER PARK WAY SHRINERS HOSPITALS FOR CHILDREN TWIN CITIES
MPLS, MN 55414-3604
Phone number: 612-596-6100
Mailing Address
RICHARD CLARK NIESSEN C.P.
2025 EAST RIVER PARK WAY SHRINERS HOSPITALS FOR CHILDREN TWIN CITIES
MPLS, MN 55414-3604
Phone number: 612-596-6100