Most Relevant Information
Provider Data
| NPI Number: | 1003016916 |
| Provider Name: | BENJAMIN P NICHOLSON M.D., M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | 4301106941 |
Most Important Dates
| Enumeration Date: | 07/19/2007 |
| Last Updated: | 04/26/2023 |
Provider Practice Location
2848 NILES RD
SAINT JOSEPH
MI
490853352
Practice Location Phone/Fax
| Phone: | 2694283300 |
| Fax: | 2694285005 |
Provider Mailing Location
2848 NILES RD
SAINT JOSEPH
MI
490853352
Provider Mailing Phone/Fax
| Phone: | 2694283300 |
| Fax: | 2694285005 |