Search › Minnesota › 207RP1001X
David Niccum, M.D
NPI 1316110869 · on the registry since 2008
Practice
- Address
- 640 Jackson St
Ms 11502b
St. Paul, MN 55101 - Phone
- (651) 254-3135
- Fax
- (651) 254-3048
- Clinicians at this address
- 36
Additional practice sites
- 420 Delaware St Se, Minneapolis, MN
Registry record
- Primary taxonomy
- 207RP1001X
207RP1001X
- Also registered as
- 390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota