GEORGE M NICOLOFF MD PC NPI 1871890251

NPI Information

  • NPI: 1871890251
  • Provider Name: GEORGE M NICOLOFF MD PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: NICOLOFF HOLISTIC FAMILY MEDICINE
  • CLIA Number: 23D2019642
  • Address: 15510 FARMINGTON RD
    LIVONIA, MI
    ZIP 48154
  • Phone: (248) 344-7400

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NPI Details

GEORGE M NICOLOFF MD PC is a primary care clinic center in Livonia, MI. GEORGE M NICOLOFF MD PC NPI is 1871890251. The provider is registered as an organization entity type.
The provider Is Doing Business As Nicoloff Holistic Family Medicine.

The provider's business location address is:

15510 FARMINGTON RD
LIVONIA, MI
ZIP 48154-852
Phone: (248) 344-7400
Fax: (248) 344-7401

The provider's authorized official is George Michael Nicoloff .
The authorized official title is President and has the following contact phone number (248) 344-7400.

The CLIA number assigned to this NPI record is 23D2019642 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2011 and was last updated on 11/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care4301063890MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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