Individual
NICHOLAS MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(317) 331-1283
Mailing address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(317) 331-1283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
207P00000X
Emergency Medicine Physician
Primary
5151017133
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151017133
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2018
Last updated
04/18/2025
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