MICHAEL A NICHOLAS

DYER, IN
NPI1598740748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0011X Internal Medicine, Interventional Cardiology
(Licence: IN  02000901A)
Additional Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: IN  02000901A)
Enumeration Date2005-12-09
Last Update Date2023-08-07
Business Address
MICHAEL A NICHOLAS DO
2150 GETTLER ST STE 400
DYER, IN 46311-2385
Phone number: 219-865-0893
Mailing Address
MICHAEL A NICHOLAS DO
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800