Individual
NICHOLAS ALEXANDER MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
747 E EIGHTH ST, TRAVERSE CITY, MI 49686-2662
(231) 346-5216
Mailing address
747 E 8TH ST, TRAVERSE CITY, MI 49686-2662
(231) 346-5216
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703124548
MI
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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