Individual
NICHOLAS J FAIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
46591 ROMEO PLANK RD STE 111A, MACOMB, MI 48044-5705
(586) 725-3444
(586) 725-0984
Mailing address
32743 23 MILE RD STE 210, CHESTERFIELD, MI 48047-2176
(586) 725-3444
(586) 725-0984
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901400431
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/18/2018
Last updated
07/21/2021
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