Individual
DR. ALEXANDER WILLIAM NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 S 1100 E STE 101, SALT LAKE CITY, UT 84102-1562
(801) 355-6468
Mailing address
9200 W. WISCONSIN AVE, P.O. BOX 26099, MILWAUKEE, WI 53226-2257
(414) 805-3666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13775607-1205
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
WI
Other
Enumeration date
03/24/2019
Last updated
08/07/2024
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