Nicole M Vichunas, PA-C
NPI #1386996858 in Saint Clair Shores, Michigan
Provider Information
- NPI Number
- 1386996858
- Entity Type
- Individual
- Name
- Nicole M Vichunas, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 9, 2012
- Last Updated
- Jan 16, 2018
Practice Location
- Address
- 25123 CULVER ST
- State
- Michigan
- ZIP Code
- 48081-2121
- Phone
- (248) 398-6459
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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