Provider Demographics
NPI:1326151127
Name:NIEHANS, GLORIA ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:ELIZABETH
Last Name:NIEHANS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 VETERANS DR
Mailing Address - Street 2:PATHOLOGY SERVICE 113
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-2505
Mailing Address - Fax:612-725-2079
Practice Address - Street 1:1 VETERANS DR
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-2505
Practice Address - Fax:612-725-2079
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN28665207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology