Individual
CLARENCE L NICODEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD DO
Contact information
Practice address
4660 S HAGADORN RD, SUITE 500, EAST LANSING, MI 48823-5376
(517) 432-6144
(517) 432-6150
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 432-6144
(517) 432-6150
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101016107
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063690535
—
MI
Enumeration date
02/06/2008
Last updated
06/26/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us