SearchMichigan363A00000X

Nicole Vichunas, PA-C

NPI 1386996858 · on the registry since 2012 · sole proprietor

Practice

Address
25123 Culver St
Saint Clair Shores, MI 48081
Phone
(248) 398-6459

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan