NPI 1003016916

Benjamin P Nicholson, MDMA

Practitioner Retina Specialist (Ophthalmology) Physician Saint Joseph, MI

Practice location

Address: 2848 Niles Rd, Saint Joseph, MI 49085-3352
Phone: (269) 428-3300
Fax: (269) 428-5005

Registered specialties (2)

Retina Specialist (Ophthalmology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207WX0107X Licence 4301106941 (MI)

Other Ophthalmology providers in Michigan →

Ophthalmology Physician

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 4301106941 (MI)

Registry record

NPI: 1003016916
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jul 2007
Record last updated: 26 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.