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Michael Nicksic, MD
Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia
NPI 1346779907

Michael Nicksic is a Student in an Organized Health Care Education/Training Program based in Charlottesville, VA. Michael Nicksic practices in Charlottesville, VA and has the professional credentials of MD. The NPI Number for Michael Nicksic is 1346779907 and holds a License No. 35.140897 (Virginia).

The current practice location address for Michael Nicksic is 1215 Lee St Box 800377, Charlottesville, VA and can be reached out via phone at 434-924-9400 and via fax at 434-243-6731.

Location: 1215 Lee St Box 800377, Charlottesville, VA, 22908-0816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346779907
Provider Name
Michael Nicksic
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1215 Lee St Box 800377, Charlottesville, VA, 22908-0816
Phone Number
434-924-9400
Fax Number
434-243-6731
Provider Enumeration Date
06/07/2017
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1215 Lee St Box 800377
City
Charlottesville
State
Virginia
Zip
22908-0816
Phone Number
434-924-9400
Fax Number
434-243-6731
person
Provider Business Mailing Address Details
Address
1215 Lee St Box 800377
City
Charlottesville
State
Virginia
Zip
22908-0816
Phone Number
434-924-9400
Fax Number
434-243-6731
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0116038831 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
35.140897 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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