Individual
DR. NICHOLAS ARISTON MALLES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034-8310
(248) 353-2225
(248) 353-2239
Mailing address
24725 W 12 MILE RD STE 260, SOUTHFIELD, MI 48034-8310
(248) 353-2225
(248) 353-2239
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301401256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301401256
CHIROPRACTIC LICENSE
MI
Enumeration date
05/05/2022
Last updated
05/05/2022
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