Individual
DR. NICHOLAS BRADLEY DOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
770 RIVERSIDE AVE STE 105, ADRIAN, MI 49221-1465
(517) 265-0650
(517) 265-1535
Mailing address
333 N SUMMIT ST FL 7, TOLEDO, OH 43604-1531
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101020308
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2013
Last updated
07/20/2023
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