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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.

Location: 1051 N Canton Center Rd, Canton, MI, 48109-5368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Canton
State
Michigan
Zip
48187-5097
Phone Number
734-647-5670
Fax Number
person
Provider Business Mailing Address Details
Address
1051 N Canton Center Rd
City
Canton
State
Michigan
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
390200000X
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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