IndividualActive
A Nielsen, MD
NPI 1063430122 · Family Medicine Physician · Grand Forks, ND
Provider details
- NPI number
- 1063430122
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 8011 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
725 Hamline St
Grand Forks, ND 58203-2819
Phone: (701) 780-6800
Fax: (701) 780-4391
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6002
Grand Forks, ND 58206-6002
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.