NPI 1295459204

Nicholas Childers

Practitioner Pedorthist Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (313) 576-1000
Fax: (313) 576-1806

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1295459204
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2022
Record last updated: 3 Oct 2022

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.