Individual
NICHOLAS RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MRM-1905
ID
2085R0202X
Diagnostic Radiology Physician
Primary
4301507910
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527
BOARD OF MEDICINE
WY
01
—
MRM-1905
STATE BOARD OF MEDICINE
ID
Enumeration date
08/18/2011
Last updated
06/30/2025
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