Individual
CARRIE B. NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 N MONROE ST STE A, ALBION, MI 49224-1765
(517) 629-2134
Mailing address
302 N MONROE ST STE A, ALBION, MI 49224-1765
(517) 629-2134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
CN083244
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN083244
STATE MEDICAL LICENSE
MI
Enumeration date
07/13/2006
Last updated
03/09/2020
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