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Contact Information

VONDA DOUGLAS NIKITIN
3601 W 13 MILE RD
ROYAL OAK, MI48073-6712
 Phone: 248-898-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology

207ZH0000X 22 Physician/Pathology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for VONDA DOUGLAS NIKITIN · (Female)

NPI # 1578522041
Status Active
Credentials
Entity Individual
Enumeration date 03/22/2006
Last updated 10/02/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301060103
  • MI Medicaid 4689349
  • MI Other 220F349850 BCBSM
Hospital affiliation(s)
  • BOTSFORD HOSPITAL - (Acute Care)
    28050 GRAND RIVER AVENUE
    FARMINGTON HILLS, MI 48336
  • OAKWOOD ANNAPOLIS HOSPITAL - (Acute Care)
    33155 ANNAPOLIS AVE
    WAYNE, MI 48184
  • OAKWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    18101 OAKWOOD BLVD
    DEARBORN, MI 48124
  • WILLIAM BEAUMONT HOSPITAL - (Acute Care)
    3601 W THIRTEEN MILE RD
    ROYAL OAK, MI 48073
  • WILLIAM BEAUMONT HOSPITAL-TROY - (Acute Care)
    44201 DEQUINDRE ROAD
    TROY, MI 48085
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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