Individual provider · Type 1 NPI

Michael Nicksic, MD

Student in an Organized Health Care Education/Training Program · Charlottesville, VA

NPI number 1346779907 Active

Practice location

1215 Lee St Box 800377
Charlottesville, VA 22908-0816

Call (434) 924-9400 Map

Fax (434) 243-6731

Other practice locations

  • 395 W 12th Ave, Columbus, OH 43210-1267 · (614) 293-8315

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X35.140897 (OH)
Student in an Organized Health Care Education/Training Program Primary 390200000X0116038831 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9 other providers at this address

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About NPI 1346779907

Michael Nicksic, MD's National Provider Identifier is 1346779907, issued on Jun 7, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charlottesville, VA. The record was last updated on Jun 15, 2024.