GARY A NISIUS

NORTH CLINIC, PA

Dr GARY A NISIUS is a male medical professional, specializing in Family Medicine. He graduated in 1998 from University Of Minnesota Medical School.

Contact

NORTH CLINIC, PA

50 CENTRAL AVE
OSSEO
MN
553691241

Tel: 7635877900

GARY A NISIUS Information

Npi 1518995042
Pac Id 2365566593
Professional Enrollment Id I20100825000415
Last Name NISIUS
First Name GARY
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1998
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name NORTH CLINIC, PA
Group Practice Pac Id 2769384205
Number Of Group Practice Members 52
Line 1 Street Address 50 CENTRAL AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City OSSEO
State MN
Zip Code 553691241
Phone Number 7635877900
Hospital Affiliation Ccn 1 240001
Hospital Affiliation Lbn 1 NORTH MEMORIAL MEDICAL CENTER
Hospital Affiliation Ccn 2 240214
Hospital Affiliation Lbn 2 MAPLE GROVE HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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