Individual
NICOLE ALEXIS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD (6/12)
Contact information
Practice address
3901 STONEGATE PARK STE 300, SAINT JOSEPH, MI 49085-9136
(269) 556-6000
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301502412
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2012
Last updated
09/15/2020
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