Korinne Ann Novak NP

NPI 1790953685 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1790953685
Gender Female
Enumeration Date 02/14/2008
Last Updated 02/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
261 MACK AVE
STE 839
DETROIT MI, 48201-2417, US
Phone (313) 745-9733
Fax (313) 745-1063
Business Location
3800 WOODWARD AVE
SUITE 600
DETROIT MI, 48201-2061, US
Phone (313) 262-1258
Fax (313) 262-1238
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704238768
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According to our database, Korinne Ann Novak NP NPI is 1790953685, taxonomy code is 363L00000X and license number is 4704238768, license state is located at Michigan. Korinne Ann Novak NP physically located at 261 Mack Ave, Detroit MI, 48201-2417. NPI Number Korinne Ann Novak NP has the Individual type.

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1790953685 NPI number is provided on an as is basis without warranty of any kind. 1790953685 is maintained by the National Plan & Provider Enumeration System. The contents of Korinne Ann Novak NP are for informational purposes only.