Individual
NICOLE CHRISTINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 723-1978
(989) 729-6629
Mailing address
6250 SUMMERBROOKE CIRCLE, FOWLERVILLE, MI 48836
(248) 719-3681
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601010772
MI
363AM0700X
Medical Physician Assistant
Primary
5601010772
MI
Other
Enumeration date
09/23/2021
Last updated
12/02/2025
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