Individual
DR. MICHAEL W NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2725 CAPITOL AVE, SUITE 302, SACRAMENTO, CA 95816-6004
(916) 262-9440
(916) 262-9445
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G27762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G277620
—
CA
Enumeration date
09/13/2006
Last updated
07/29/2015
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