Individual
DR. NICHOLE C ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
3702 E 8 MILE RD, DETROIT, MI 48234
(313) 891-1800
(313) 891-1802
Mailing address
3702 E 8 MILE RD, DETROIT, MI 48234
(313) 891-1800
(313) 891-1802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008912
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480131314
—
MI
01
—
95OH225940
BCBS
MI
Enumeration date
08/31/2006
Last updated
09/17/2008
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