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1407169097
MICHAEL P NICHOLSON
ANKENY, IA
NPI
1407169097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA DO-04291)
Enumeration Date
2010-07-23
Last Update Date
2024-01-02
Business Address
Dr. MICHAEL P NICHOLSON DO
1410 SW TRADITION DR STE 120
ANKENY, IA 50023
Phone number: 515-875-9040
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Mailing Address
Dr. MICHAEL P NICHOLSON DO
PO BOX 424
DES MOINES, IA 50302-0424
Phone number: 515-875-9255
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