Individual
NICHOLAS BRANSCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
36475 FIVE MILE ROAD, LIVONIA, MI 48154-1971
(734) 655-1290
(734) 655-1270
Mailing address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-1290
(734) 655-1270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101018979
MI
207R00000X
Internal Medicine Physician
UO2210
FL
Other
Enumeration date
09/14/2009
Last updated
12/10/2010
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