Individual provider · Type 1 NPI

John David Nicely, MD

Emergency Medical Services (Emergency Medicine) Physician · Holland, MI

NPI number 1215987367 Active

Practice location

602 Michigan Ave
Holland, MI 49423

Mailing address

PO Box 30516, Dept 4006
Lansing, MI 48909-8016

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X4301078807 (MI)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1215987367

John David Nicely, MD's National Provider Identifier is 1215987367, issued on May 11, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Holland, MI. The record was last updated on May 25, 2010.