Search › Michigan › 2086S0129X
Jake Nicholson, DO
NPI 1467013698 · on the registry since 2019
Practice
- Address
- 275 Michigan St Ne
Grand Rapids, MI 49503 - Phone
- (616) 267-8700
- Fax
- (616) 267-8247
- Organisation at this address
- Spectrum Health Primary Care Partners
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 360
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-27
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