GARY NISIUS, MD

Family Medicine

Active Individual
NPI: 1518995042

Practice Address

15655 37TH AVE N STE 100
Plymouth, MN 55446

Phone: (763) 587-7900

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 41693 (MN)

Frequently Asked Questions

NPI 1518995042 is the National Provider Identifier for GARY NISIUS, MD, a Family Medicine provider located in Plymouth, MN. This NPI was enumerated on June 30, 2006.
GARY NISIUS, MD practices at 15655 37TH AVE N STE 100, Plymouth, MN 55446.

Quick Facts

NPI
1518995042
Type
Individual
Enumerated
Jun 30, 2006
Last Updated
Nov 8, 2022

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