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Kevin David Nolan, MD
Vascular Surgery Physician in Southfield, Michigan
NPI 1871560979

Kevin David Nolan is a Vascular Surgery Physician based in Southfield, MI and is specialized in Vascular Surgery. Kevin David Nolan practices in Southfield, MI and has the professional credentials of MD. The NPI Number for Kevin David Nolan is 1871560979 and holds a License No. KN062252 (Michigan).

The current practice location address for Kevin David Nolan is 22250 Providence Dr, Southfield, MI and can be reached out via phone at 248-424-5748 and via fax at 248-443-1706.

Location: 22250 Providence Dr, Southfield, MI, 48075-4825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871560979
Provider Name
Kevin David Nolan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22250 Providence Dr, Southfield, MI, 48075-4825
Phone Number
248-424-5748
Fax Number
248-443-1706
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0P33080 01 MI PTAN
3488275 05 MI
institution
Provider Business Practice Location Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075-4825
Phone Number
248-424-5748
Fax Number
248-443-1706
person
Provider Business Mailing Address Details
Address
22250 Providence Dr
City
Southfield
State
Michigan
Zip
48075-4825
Phone Number
248-424-5748
Fax Number
248-443-1706
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
KN062252 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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