IndividualActive
Tanner Niemann
NPI 1053244558 · Intermediate Emergency Medical Technician · Mendota Heights, MN
Provider details
- NPI number
- 1053244558
- Entity type
- Individual
- Primary specialty
- Intermediate Emergency Medical TechnicianEmergency Medical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Emergency Medical Service Providers
Practice location
2520 Pilot Knob Rd Ste 250
Mendota Heights, MN 55120-1347
Phone: (651) 224-8264
Approximate (ZIP-level) locationGet directions
Mailing address
6480 153rd Way Nw
Ramsey, MN 55303-4402
Registry dates
- Enumerated
- 2026-06-04
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.