Individual
MR. NICHOLAS CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1806
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
(313) 576-1806
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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