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Contact Information

NICHOLAS M BRANCH, PA
1231 PINE GROVE AVE STE 1A
PORT HURON, MI48060-3500
 Phone: 810-985-4300
 Fax: 810-985-9320
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICHOLAS M BRANCH · (Male)

NPI Number 1144578998
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/28/2012
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 5315080694
Hospital affiliation(s)
  • PORT HURON HOSPITAL - (Acute Care)
    1221 PINE GROVE AVE
    PORT HURON, MI 48060
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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