Individual
DR. MICHAEL C. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
81-948 WAENA 'OIHANA LOOP, SUITE 120, CKC BUILDING 9, KEALAKEKUA, HI 96750
(808) 322-6692
(808) 322-6693
Mailing address
PO BOX 319, KEALAKEKUA, HI 96750-0319
(808) 322-6692
(808) 322-6693
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD4571
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011527-01
—
HI
Enumeration date
07/12/2006
Last updated
07/08/2007
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