MR. Nicholas Childers

NPI #1295459204 in Detroit, Michigan

Provider Information

NPI Number: 1295459204
Entity Type: Individual
Name: MR. Nicholas Childers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pedorthist
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 4646 JOHN R ST
City: Detroit
State: Michigan
ZIP Code: 48201-1916
Phone: (313) 576-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pedorthist	224L00000X	Primary

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