Individual
NICHOLAS CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1860 N FRANCIS ST, MIDLAND, MI 48642-9451
(985) 707-9996
Mailing address
1860 N FRANCIS ST, MIDLAND, MI 48642-9451
(985) 707-9996
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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