DR. TIMOTHY NIEDZIELAK, DO

Orthopaedic Surgery

Active Individual
NPI: 1972028421

Practice Address

8201 E RIVERSIDE BLVD
Rockford, IL 61114

Phone: (815) 971-7000

Specialties

Specialty Code Primary License
Orthopaedic Surgery 207X00000X Yes 036165587 (IL)
Orthopaedic Surgery - Orthopaedic Trauma 207XX0801X No 2022018519 (MO)
Student in an Organized Health Care Education/Training Program 390200000X No 5665 (FL)

Frequently Asked Questions

NPI 1972028421 is the National Provider Identifier for DR. TIMOTHY NIEDZIELAK, DO, a Orthopaedic Surgery provider located in Rockford, IL. This NPI was enumerated on August 6, 2017.
DR. TIMOTHY NIEDZIELAK, DO practices at 8201 E RIVERSIDE BLVD, Rockford, IL 61114.

Quick Facts

NPI
1972028421
Type
Individual
Enumerated
Aug 6, 2017
Last Updated
Sep 12, 2023

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