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Clarence L Nicodemus, PHDDO
Neuromusculoskeletal Medicine & OMM Physician in East Lansing, Michigan
NPI 1063690535

Clarence L Nicodemus is a Neuromusculoskeletal Medicine & OMM Physician based in East Lansing, MI. Clarence L Nicodemus practices in East Lansing, MI and has the professional credentials of PHDDO. The NPI Number for Clarence L Nicodemus is 1063690535 and holds a License No. 5101016107 (Michigan).

The current practice location address for Clarence L Nicodemus is 4660 S Hagadorn Rd, East Lansing, MI and can be reached out via phone at 517-432-6144 and via fax at 517-432-6150.

Location: 4660 S Hagadorn Rd, East Lansing, MI, 48824-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063690535
Provider Name
Clarence L Nicodemus
Credential
PHDDO
Provider Entity Type
Individual
Gender
Male
Address
4660 S Hagadorn Rd, East Lansing, MI, 48824-7015
Phone Number
517-432-6144
Fax Number
517-432-6150
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063690535 05 MI
institution
Provider Business Practice Location Address Details
Address
4660 S Hagadorn Rd
City
East Lansing
State
Michigan
Zip
48823-5376
Phone Number
517-432-6144
Fax Number
517-432-6150
person
Provider Business Mailing Address Details
Address
4660 S Hagadorn Rd
City
East Lansing
State
Michigan
Zip
48823-5376
Phone Number
517-432-6144
Fax Number
517-432-6150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine & OMM
Speciality
-
Taxonomy
204D00000X
License No.
5101016107 (Michigan)
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
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