Individual
DR. BENJAMIN P NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.A.
Contact information
Practice address
2848 NILES RD, SAINT JOSEPH, MI 49085-3352
(269) 428-3300
(269) 428-5005
Mailing address
2848 NILES RD, SAINT JOSEPH, MI 49085-3352
(269) 428-3300
(269) 428-5005
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
4301106941
MI
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
4301106941
MI
Other
Enumeration date
07/19/2007
Last updated
04/26/2023
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