Individual provider · Type 1 NPI
Michael W. Nielsen, DPM
Foot & Ankle Surgery Podiatrist · Antioch, CA
NPI number
1952608077
Active
Practice location
4501 Sand Creek Rd
Antioch, CA 94531-8687
Mailing address
2163 Concord Ave
Brentwood, CA 94513-4711
Other practice locations
- 1501 San Pedro Dr SE, Albuquerque, NM 87108-5153 · (505) 251-1711
- 1501 San Pedro Dr SE, Albuquerque, NM 87108-5153 · (505) 251-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | EF078 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | T-1033 (NM) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1952608077
Michael W. Nielsen, DPM's National Provider Identifier is 1952608077, issued on Feb 25, 2011. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Antioch, CA. The record was last updated on Jan 13, 2022.