James Nissen

NPI #1902191380 in Eagan, Minnesota

Provider Information

NPI Number: 1902191380
Entity Type: Individual
Name: James Nissen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Jun 14, 2011
Last Updated: Jun 14, 2011

Practice Location

Address: 2000 CLIFF LAKE RD
City: Eagan
State: Minnesota
ZIP Code: 55122-2400
Phone: (651) 688-8947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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