Most Relevant Information
Provider Data
| NPI Number: | 1003224601 |
| Provider Name: | NICHOLAS DAVID CAPAUL M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/27/2014 |
| Last Updated: | 05/09/2016 |
Provider Practice Location
750 S MONROE ST
MONROE
MI
481611430
Practice Location Phone/Fax
| Phone: | 7346392262 |
| Fax: | 7342644114 |
Provider Mailing Location
750 S MONROE ST
MONROE
MI
481611430
Provider Mailing Phone/Fax
| Phone: | 7346392262 |
| Fax: | 7342644114 |