| Nicoloff Holistic Family Medicine | |
|
23985 Novi Rd Suite B102 Novi MI 48375-5436 | |
| (248) 615-3564 | |
| (248) 615-3762 |
| Full Name | Nicoloff Holistic Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 23985 Novi Rd, Novi, Michigan |
| Authorized Official Name and Position | George Michael Nicoloff (PRESIDENT) |
| Authorized Official Contact | 2486153564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicoloff Holistic Family Medicine 23985 Novi Rd Suite B102 Novi MI 48375-5436 Ph: (248) 615-3564 | Nicoloff Holistic Family Medicine 23985 Novi Rd Suite B102 Novi MI 48375-5436 Ph: (248) 615-3564 |
| NPI Number | 1871890251 |
|---|---|
| Provider Enumeration Date | 02/20/2011 |
| Last Update Date | 02/20/2011 |
| Medicare PECOS PAC ID | 4880878669 |
|---|---|
| Medicare Enrollment ID | O20110404000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871890251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301063890 (Michigan) | Primary |
| Provider Name | George M Nicoloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083674626 PECOS PAC ID: 6406749837 Enrollment ID: I20040207000296 |
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