Michael Nicholas

NPI #1972465631 in Modesto, California

Provider Information

NPI Number: 1972465631
Entity Type: Individual
Name: Michael Nicholas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Dec 1, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 1030 CALIFORNIA AVE
City: Modesto
State: California
ZIP Code: 95351-2102
Phone: (209) 996-2054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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