Individual provider · Type 1 NPI

Jeremy D. Nietz, PA-C

Medical Physician Assistant · Minneapolis, MN

NPI number 1780655472 Active

Practice location

1 Veterans Dr
Minneapolis, MN 55417-2309

Call (612) 725-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X9489 (MN)
Surgical Physician Assistant 363AS0400X9489 (MN)

Medical Physician Assistant: Definition to come...

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About NPI 1780655472

Jeremy D. Nietz, PA-C's National Provider Identifier is 1780655472, issued on Jan 30, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Minneapolis, MN. The record was last updated on Sep 30, 2010.