NPI 1063690535

Clarence L Nicodemus, PHDDO

Practitioner Neuromusculoskeletal Medicine & OMM Physician East Lansing, MI

Practice location

Address: 4660 S Hagadorn Rd Suite 500, East Lansing, MI 48823-5376
Phone: (517) 432-6144
Fax: (517) 432-6150
Mailing address: 804 Service Rd STE A109b, East Lansing, MI 48824-7015

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 5101016107 (MI)

Other Neuromusculoskeletal Medicine & OMM providers in Michigan →

Registry record

NPI: 1063690535
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Feb 2008
Record last updated: 26 Jun 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.