Individual
DR. MICHAEL NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(586) 263-2978
Mailing address
6341 DEER CROSS DR, CLARKSTON, MI 48348-2830
(248) 620-6076
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301068186
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4705424
—
MI
Enumeration date
06/10/2006
Last updated
07/31/2025
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