Individual provider · Type 1 NPI

Nicolle Maikawa, MD

Student in an Organized Health Care Education/Training Program · Clinton Township, MI

NPI number 1700620846 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038

Mailing address

1822 Village Green Blvd. Apt 104
Rochester Hills, MI 48307

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4351052551 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700620846

Nicolle Maikawa, MD's National Provider Identifier is 1700620846, issued on Jun 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clinton Township, MI. The record was last updated on Aug 1, 2024.