Individual
NATHAN CLYDE CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4660 S HAGADORN RD STE 500, EAST LANSING, MI 48823-6804
(517) 884-8701
(517) 884-8787
Mailing address
804 SERVICE RD STE A202, EAST LANSING, MI 48824-7015
(517) 884-8701
(517) 884-8787
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101018410
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
5101018410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861528430
—
MI
Enumeration date
06/09/2009
Last updated
07/31/2025
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