IndividualActive
Florian Nickisch, MD
NPI 1598748725 · Orthopaedic Foot and Ankle Surgery Physician · Salt Lake City, UT
Provider details
- NPI number
- 1598748725
- Entity type
- Individual
- Primary specialty
- Orthopaedic Foot and Ankle Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2005-01034 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
590 Wakara Way
Salt Lake City, UT 84108-1200
Phone: (801) 587-5486
Fax: (801) 587-5411
Approximate (ZIP-level) locationGet directions
Mailing address
590 Wakara Way
Salt Lake City, UT 84108-1200
Registry dates
- Enumerated
- 2005-11-22
- Last updated
- 2021-11-23
- Certified
- 2021-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.