Individual
MR. BRIAN E NICHOLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
2300 GENOA BUSINESS PARK DR, SUITE 120, BRIGHTON, MI 48114-7367
(810) 299-8557
Mailing address
749 VILLAGE DR, FOWLERVILLE, MI 48836-7930
(517) 223-1070
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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