person
Stana Nickolich, MD
Student in an Organized Health Care Education/Training Program in Canton, Michigan
NPI 1104516004

Stana Nickolich is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Stana Nickolich practices in Canton, MI and has the professional credentials of MD. The NPI Number for Stana Nickolich is 1104516004 and holds a License No. 4351050571 (Michigan).

The current practice location address for Stana Nickolich is 1051 N Canton Center Rd, Canton, MI and can be reached out via phone at 734-647-5670. You can also correspond with Stana Nickolich through the mailing address at 1500 E MEDICAL CENTER DR SPC 5368, ANN ARBOR, MI - 48109-5368 (mailing address contact number: ).

Location: 1051 N Canton Center Rd, Canton, MI, 48109-5368
person
Provider Profile Details
NPI Number
1104516004
Provider Name
Stana Nickolich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1051 N Canton Center Rd, Canton, MI, 48109-5368
Phone Number
734-647-5670
Fax Number
Provider Enumeration Date
05/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1051 N Canton Center Rd
City
State
Zip
48187-5097
Phone Number
734-647-5670
Fax Number
person
Provider Business Mailing Address Details
Address
1051 N Canton Center Rd
City
State
Zip
48187-5097
Phone Number
734-647-5670
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4351050571 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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