Individual
CAROLYN M. NICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5301 E HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 712-8676
(734) 712-3855
Mailing address
PO BOX 446, 24 FRANK LLOYD WRIGHT DRIVE, ANN ARBOR, MI 48106-0446
(734) 747-6766
(734) 220-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003972
MI
Other
Enumeration date
01/05/2006
Last updated
01/24/2014
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