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Contact Information

LUKE C NICHOLAS, MD
6150 NORTHLAND DRIVE
ROCKFORD, MI49341
 Phone: 616-942-9343
 Fax: 616-942-2538
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LUKE C NICHOLAS · (Male)

NPI Number 1467509620
Status Active
Credentials MD
Entity Individual
Enumeration date 01/03/2007
Last updated 07/18/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # D0082362
  • MI License # 4301101878
Hospital affiliation(s) Not Available
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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