Department of Safety and Professional Services
Board of Medical Practice
Blake D. Niederhauser
Medical - Physician And Surgeon
License number
52314
Date granted
09/12/2009
Date expires
03/31/2015
Class
Medical - Physician And Surgeon
Status
Active
Address
820 W Cagney Dr, Meridian, ID 83646
doctorsminnesota.org
ID 22268948
LAST UPDATED 2024-02-14 19:18:47 UTC
LAST UPDATED 2024-02-14 19:18:47 UTC
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