Individual
LUKE C. NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6150 NORTHLAND DRIVE, ROCKFORD, MI 49341
(616) 942-9343
(616) 942-2538
Mailing address
3434 RIVERTOWN POINT CT SW, GRANDVILLE, MI 49418-3076
(616) 257-3344
(616) 257-1491
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
4301101878
MI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301101878
MI
207ND0101X
MOHS-Micrographic Surgery Physician
D0082362
MD
Other
Enumeration date
01/03/2007
Last updated
07/18/2024
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