Michael L Nicholas M.D.

NPI 1124026059 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1124026059
Gender Male
Enumeration Date 07/13/2005
Last Updated 06/02/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
2506 WILLOWBROOK PKWY
SUITE 300
INDIANAPOLIS IN, 46205-1564, US
Phone (317) 574-1254
Fax (317) 674-0059
Business Location
9615 E 148TH ST
SUITE 1
NOBLESVILLE IN, 46060-4360, US
Phone (317) 587-0500
Fax (317) 674-0059
Toxanomy
Taxonomy Code 2084P0800X
License State Indiana
License Number 01036176A
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According to our database, Dr. Michael L Nicholas M.D. NPI is 1124026059, taxonomy code is 2084P0800X and license number is 01036176A, license state is located at Indiana. Michael L Nicholas M.D. physically located at 2506 Willowbrook Pkwy, Indianapolis IN, 46205-1564. NPI Number Michael L Nicholas M.D. has the Individual type.

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1124026059 NPI number is provided on an as is basis without warranty of any kind. 1124026059 is maintained by the National Plan & Provider Enumeration System. The contents of Michael L Nicholas M.D. are for informational purposes only.