NPI

Frederick Scott Nichols

NPI 1245354141

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
D.O.
Type
Individual
Enumeration date
2007-03-17
Last updated
2025-04-21

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Specialties

Licenses

License CA
19026
License MI
5101016827

Location

Practice location
27472 Schoenherr Rd, Ste #150
City
Warren MI
Postal code
48088-6688
Phone
(586) 393-7777

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Warren, MI. 4,098 records in the public file.

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