Male or Other

Michael Nathan

Clinical Social Worker in Novi, MI(View on Map)

Full Name

Michael Nathan

NPI Number

1376876045

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/14/2009

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Michigan

License Number

6801065329

Contact
Information

Purpose

Mailing
Location

Address

39450 W 12 MILE RD
39450 W 12 MILE RD

City

Novi
Novi

State

MI
MI

Postal Code

48377-3600
48377-3600

Country

US
US

Telephone Number

(248) 661-7393
(248) 661-7393

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

mnathan19511@direct.hfhs.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

39450 W 12 Mile RdNovi, MI483773600US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2021

Provider Address

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