Individual
WILLIAM H NICHOLS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4523
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4523
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101014729
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
5101014729
MI
207RP1001X
Pulmonary Disease Physician
5101014729
MI
Other
Enumeration date
07/24/2006
Last updated
08/15/2023
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