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Individual

NICHOLAS JAMES BOLZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374-1212
(866) 974-2673
(866) 939-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(866) 974-2673
(866) 939-2673

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301508105
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2017
Last updated
10/25/2023
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