Individual
DR. MICHAEL P NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1410 SW TRADITION DR, STE 120, ANKENY, IA 50023
(515) 875-9040
(515) 875-9041
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9255
(515) 875-9223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-04291
IA
Other
Enumeration date
07/23/2010
Last updated
01/02/2024
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