DR. Timothy Raymond Niedzielak, DO

NPI #1972028421 in Rockford, Illinois

Provider Information

NPI Number: 1972028421
Entity Type: Individual
Name: DR. Timothy Raymond Niedzielak, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthopaedic Surgery
Credential: DO
Enumeration Date: Aug 6, 2017
Last Updated: Sep 12, 2023

Practice Location

Address: 8201 E RIVERSIDE BLVD
City: Rockford
State: Illinois
ZIP Code: 61114-2300
Phone: (815) 971-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X
Student in an Organized Health Care Education/Training Program	390200000X

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