NPI 1063771087

Nicole Alexis Phillips, MD

Practitioner Plastic Surgery Physician Saint Joseph, MI

Practice location

Address: 3901 Stonegate Park STE 300, Saint Joseph, MI 49085-9136
Phone: (269) 556-6000
Mailing address: 75 Francis St, Boston, MA 02115-6110

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 4301502412 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063771087
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2012
Record last updated: 15 Sep 2020

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.