Individual
DR. NICOLAS K. FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(313) 346-5235
Mailing address
138 ALGER ST SE, GRAND RAPIDS, MI 49507-3407
(301) 257-2152
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351048761
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2021
Last updated
07/22/2021
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