Nicholas Bradlee Dpm Pc

NPI 1497860464 - Podiatrist - 213E00000X

NPI Details
NPI 1497860464
Enumeration Date 08/20/2006
Last Updated 11/20/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICHOLAS NICHOLAS
Position OWNER
Phone (248) 244-9565
Fax (248) 244-8183
Practice Location
1909 LIVERNOIS
TROY MI, 48083, US
Phone (248) 244-9565
Fax (248) 244-8183
Business Location
PO BOX 1029
TROY MI, 48099-1029, US
Phone (248) 244-9565
Fax (248) 244-8183
Toxanomy
Taxonomy Code 213E00000X
License State Michigan
License Number NB000558
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According to our database, Nicholas Bradlee Dpm Pc NPI is 1497860464, taxonomy code is 213E00000X and license number is NB000558, license state is located at Michigan. Nicholas Bradlee Dpm Pc physically located at 1909 Livernois, Troy MI, 48083. NPI Number 1033115704 has the healthcare provider type.

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1497860464 NPI number is provided on an as is basis without warranty of any kind. 1497860464 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Bradlee Dpm Pc are for informational purposes only.