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GEORGE M NICOLOFF MD PC NPI 1871890251


NPI Information

NPI: 1871890251
Provider Name: GEORGE M NICOLOFF MD PC

Doing Business As: NICOLOFF HOLISTIC FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 23D2019642

Address:
23985 NOVI RD
SUITE B102
NOVI, MI
ZIP 48375
Phone: (248) 615-3564
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GEORGE M NICOLOFF MD PC is a primary care clinic center in Novi, 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:

23985 NOVI RD
SUITE B102
NOVI, MI
ZIP 48375-436
Phone: (248) 615-3564
Fax: (248) 615-3762

The provider's authorized official is George Michael Nicoloff .
The authorized official title is President and has the following contact phone number (248) 615-3564.

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 2/20/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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: 4/28/2024

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