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Chad Nicholson, MD
Student in an Organized Health Care Education/Training Program in Southfield, Michigan
NPI 1700362241

Chad Nicholson is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Chad Nicholson practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Chad Nicholson is 1700362241 and holds a License No. 4301116251 (Michigan).

The current practice location address for Chad Nicholson is 16001 W 9 Mile Rd Fl 4, Southfield, MI and can be reached out via phone at 770-608-4290.

Location: 16001 W 9 Mile Rd Fl 4, Southfield, MI, 48075-4818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700362241
Provider Name
Chad Nicholson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16001 W 9 Mile Rd Fl 4, Southfield, MI, 48075-4818
Phone Number
770-608-4290
Fax Number
Provider Enumeration Date
07/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16001 W 9 Mile Rd Fl 4
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
770-608-4290
Fax Number
person
Provider Business Mailing Address Details
Address
16001 W 9 Mile Rd Fl 4
City
Southfield
State
Michigan
Zip
48075-4818
Phone Number
770-608-4290
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.
4301116251 (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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