License holder summary

Blake D. Niederhauser is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Blake D. Niederhauser is 820 W Cagney Dr, Meridian, ID 83646. This doctor license is current. The license was granted 09/12/2009 and expired on 03/31/2015.

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

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