Stana Nickolich, MD Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Canton, MI
- NPI
- 1104516004
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 4351050571 (MI)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2023-05-12
- Last updated
- 2023-05-12
Practice location
1051 N Canton Center Rd
Canton, MI 48187-5097
(734) 647-5670