Individual provider · Type 1 NPI

Nick Coolidge, PA-C

Medical Physician Assistant · Lansing, MI

NPI number 1194105221 Active

Practice location

1140 E Michigan Ave Ste 200
Lansing, MI 48912-1806

Mailing address

6039 Willomere Cir
Winston Salem, NC 27107-3731

Other practice locations

  • 819 N Main St Ste 112, High Point, NC 27262-3996 · (336) 289-2299

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine Physician 208VP0000X0010-09447 (NC)
Medical Physician Assistant Primary 363AM0700X5315244432 (MI)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1194105221

Nick Coolidge, PA-C's National Provider Identifier is 1194105221, issued on Jun 3, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lansing, MI. The record was last updated on Sep 21, 2023.