Individual
DR. MICHAEL W NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4501 SAND CREEK RD, ANTIOCH, CA 94531-8687
(925) 813-3450
Mailing address
2163 CONCORD AVE, BRENTWOOD, CA 94513-4711
(916) 597-6358
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
EF078
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
T-1033
NM
Other
Enumeration date
02/25/2011
Last updated
01/13/2022
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