Individual
DR. FREDERICK SCOTT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
27472 SCHOENHERR RD, STE #150, WARREN, MI 48088-6688
(586) 393-7777
(586) 777-1533
Mailing address
27472 SCHOENHERR RD, STE #150, WARREN, MI 48088-6688
(586) 393-7777
(586) 777-1533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
19026
CA
208600000X
Surgery Physician
Primary
5101016827
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245354141
—
MI
Enumeration date
03/17/2007
Last updated
04/21/2025
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