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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FLORIAN NICKISCH, MD

Active

DR. FLORIAN NICKISCH, MD is a Sports Medicine (Orthopaedic) healthcare provider located in SALT LAKE CITY, Utah. NPI 1598748725 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Orthopaedic) · SALT LAKE CITY, UT

Registration Details

NPI Number
1598748725
Provider Type
Individual
Gender
Male
NPI Issued
Nov 22, 2005 (20.751107699852 yrs)
Last Updated
Nov 23, 2021
Licenses
2005-01034 (NC)
6475000-1205 (UT)

Practice Information

Address
590 WAKARA WAY
SALT LAKE CITY, UT, 841081200
Browse UT providers · Browse ZIP 84108
Phone
8015875486
Fax
8015875411
Primary Specialty
Sports Medicine (Orthopaedic)
207XX0004X
Additional Specialty
Sports Medicine (Orthopaedic)

Other Sports Medicine (Orthopaedic) Providers in SALT LAKE CITY, UT

Name Credential NPI
MR. DAVID J HOWE MD 1578667226
DR. GRANT SUN MD 1245618966
DR. ADAM MICHAEL MILLER MD 1487281754
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.