Provider Demographics
NPI:1326010828
Name:NESTER, PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:
Last Name:NESTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8338 ALLEN RD
Mailing Address - Street 2:STE 101
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1399
Mailing Address - Country:US
Mailing Address - Phone:313-386-5500
Mailing Address - Fax:313-386-3444
Practice Address - Street 1:7445 ALLEN RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1963
Practice Address - Country:US
Practice Address - Phone:313-386-5500
Practice Address - Fax:313-386-3444
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301062316207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI080098429OtherRAILROAD MEDICARE
MI3506382Medicaid
MIG30932Medicare UPIN
MI3506382Medicaid