Clarence L Nicodemus, PHD DO
NPI #1063690535 in East Lansing, Michigan
Provider Information
- NPI Number
- 1063690535
- Entity Type
- Individual
- Name
- Clarence L Nicodemus, PHD DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Neuromusculoskeletal Medicine & OMM
- Credential
- PHD DO
- Enumeration Date
- Feb 6, 2008
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 4660 S HAGADORN RD
- Address 2
- SUITE 500
- City
- East Lansing
- State
- Michigan
- ZIP Code
- 48823-5376
- Phone
- (517) 432-6144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neuromusculoskeletal Medicine & OMM |
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