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Individual

DR. CHAD ROBERT NIXON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2674 E GRAND RIVER AVE, HOWELL, MI 48843-8544
(517) 546-9242
Mailing address
2674 E GRAND RIVER AVE, HOWELL, MI 48843-8544
(517) 546-9242

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004200
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4787760
MI
01
4901004200
STATE LICENSE NUMBER
MI
01
900D710780
BLUE CROSS BLUE SHIELD
MI
Enumeration date
09/24/2006
Last updated
05/22/2008
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