Niksich, Pamela Jean

Niksich, Pamela Jean is an individual health care provider with primary practice located at 12720 Bass Lake Rd , Maple Grove MN 55369-6307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Niksich, Pamela Jean can be contacted via phone (763) 559-2861.

Contact Information

Primary practice address
12720 Bass Lake Rd Maple Grove MN 55369-6307
Phone: (763) 559-2861
Fax: (763) 559-1338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45836 Minnesota

Profile Details

NPI number 1063498673
LBN Legal business name Niksich, Pamela Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jun 9th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers