Individual
MICHAEL JAMES NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PAC
Contact information
Practice address
2402 WINNEBAGO ST, MADISON, WI 53704-5341
(608) 287-2832
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2459
WI
363AM0700X
Medical Physician Assistant
2459-023
WI
Other
Enumeration date
08/04/2009
Last updated
06/06/2023
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