NPI 1073052379

Andrew Novak

Practitioner Rehabilitation Practitioner Grand Rapids, MI

Practice location

Address: 3492 Lake Dr SE, Grand Rapids, MI 49546-4338
Phone: (616) 957-4057

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Registry record

NPI: 1073052379
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2017
Record last updated: 20 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.