Provider Demographics
NPI:1023514486
Name:CARDUCCI, NICHOLAS MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:MICHAEL
Last Name:CARDUCCI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2305 GENOA BUSINESS PARK DR STE 250
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7006
Mailing Address - Country:US
Mailing Address - Phone:810-494-2020
Mailing Address - Fax:810-494-0127
Practice Address - Street 1:2305 GENOA BUSINESS PARK DR STE 250
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7006
Practice Address - Country:US
Practice Address - Phone:810-494-2020
Practice Address - Fax:810-494-0127
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2025-03-18
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Provider Licenses
StateLicense IDTaxonomies
MI4301506160207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist