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Individual

LOUIS J NYKAMP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8333 FELCH ST, SUITE 201, ZEELAND, MI 49464-1698
(616) 741-3790
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301088683
MI
2084P0800X
Psychiatry Physician
44789
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
746150000
MN
Enumeration date
02/06/2006
Last updated
06/06/2013
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