Individual
MR. MICHAEL ALAN NICHOLAS, NP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-6200
Mailing address
1634 GULL RD, KALAMAZOO, MI 49048-1632
(269) 903-2835
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704140236
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704140236
MI LICENSE
MI
Enumeration date
11/28/2006
Last updated
12/06/2016
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