Individual
DR. NICHOLAS STEPHEN CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 CASTRO STREET, SUITE 121, SAN FRANCISCO, CA 94114
(415) 565-6136
Mailing address
45 CASTRO ST, SUITE 121, SAN FRANCISCO, CA 94114
(415) 565-6136
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A180774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A180774
MEDICAL LICENCE
CA
Enumeration date
07/05/2022
Last updated
08/11/2022
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