Individual
MIKE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14583 BIG BASIN WAY, #2B, SARATOGA, CA 95070-6072
(408) 647-2130
(888) 362-6713
Mailing address
14583 BIG BASIN WAY, #2B, SARATOGA, CA 95070-6072
(408) 647-2130
(888) 362-6713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G49792
CA
Other
Enumeration date
06/30/2008
Last updated
05/14/2009
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