Individual
NICHOLAS H. SUN
Active
Individual
NICHOLAS H. SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
5101015880
MI
207RG0100X
Gastroenterology Physician
Primary
OP60152129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053813635
BCBSM
MI
01
—
OP60152129
WA LICENSE
WA
Enumeration date
05/20/2007
Last updated
06/21/2019
Update your record
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