MEDICARE: DR. NICHOLAS PHILIP FRAME M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	4301104820	MI

General Provider Information

NPI Number	:	1104230341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS PHILIP FRAME M.D.

Provider Business Mailing Address
First Line	:	4100 EMBASSY DR SE STE 400
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2416
Country	:	US
Telephone Number	:	616-988-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 EMBASSY DR SE STE 400
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2416
Country	:	US
Telephone Number	:	616-988-8220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2014
Last Update Date	:	08/18/2023

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