DR. MD Florian Nickisch, NPI 1598748725
Orthopaedic Foot and Ankle Surgery Physician in Salt Lake City, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1598748725
NPI Entity Type Individual
Provider Name DR. MD Florian Nickisch
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 590 Wakara Way, Salt Lake City, UT, US
Provider Mailing Address 590 Wakara Way, Salt Lake City, UT, US, 841081200
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207XX0004X

Taxonomy Name Orthopaedic Foot and Ankle Surgery Physician
Classification

Orthopaedic Surgery

Group

Allopathic & Osteopathic Physicians

License No. 6475000-1205
License State UT
Description Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

Business Address

DR. MD Florian Nickisch
590 Wakara Way

Salt Lake City, UT, US

Phone: 801-587-5486
Fax: 801-587-5411

Mailing Address

DR. MD Florian Nickisch
590 Wakara Way
Salt Lake City, UT, US
ZIP 841081200
Phone: 801-587-5486
Fax: 801-587-5411

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207X00000X

Allopathic & Osteopathic Physicians

Orthopaedic Surgery

2005-01034 NC No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
N0103A SC MEDICAID 05
5901362 NC MEDICAID 05

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] DIRECT OTHER Yes 50 N Medical Dr, Salt Lake City, UT, US

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