Individual
AUSTIN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, ANN ARBOR, MI 48109
(734) 764-6879
Mailing address
1500 E. MEDICAL CENTER DRIVE, ANN ARBOR, MI 48109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351050657
MI
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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