Organization
NICHOLAS DUTCHESHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DUTCHESHEN M.D. (PRESIDENT)
(248) 244-9426
Entity
Organization
Contact information
Practice address
1350 KIRTS BLVD, SUITE 160, TROY, MI 48084-4851
(248) 244-9426
Mailing address
1350 KIRTS BLVD, SUITE 160, TROY, MI 48084-4851
(248) 244-9426
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301077647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5223466
—
MI
Enumeration date
04/01/2015
Last updated
04/01/2015
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