Individual
NEIL NIXDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 PLYMOUTH RD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.207223
LA
207Q00000X
Family Medicine Physician
MD449905
PA
207Q00000X
Family Medicine Physician
MED-PHYS-LIC-34400
MT
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301508388
MI
Other
Enumeration date
03/30/2010
Last updated
07/09/2024
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