Search › Michigan › 183500000X
Nicole Odisho
NPI 1366927873 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4119 W 13 Mile Rd
Royal Oak, MI 48073 - Phone
- (248) 850-1802
Additional practice sites
- 43337 Schoenherr Rd, Sterling Heights, MI
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan