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1538329636
BRIAN NICHELSON
GRAND BLANC, MI
NPI
1538329636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101017702)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
-- BRIAN NICHELSON D.O.
1 GENESYS PKWY
GRAND BLANC, MI 48439-8065
Phone number: 810-606-5000
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Mailing Address
-- BRIAN NICHELSON D.O.
2144 BRETON RD SE
GRAND RAPIDS, MI 49546-5574
Phone number: 517-795-0194
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