# PRAESIDIUM MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225957707
- **Authorized official:** DR. ROBERT JAMES NOVAK DO (PHYSICIAN)
- **Authorized official phone:** (816) 668-8771

## Contact information

- **Practice address:** 200 S 21ST ST STE 400A, LINCOLN, NE 68510-1044
- **Practice address phone:** (816) 668-8771
- **Mailing address:** 9661 HEATHER LN, MANHATTAN, KS 66502-1884
- **Mailing address phone:** (816) 668-8771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2026
- **Last updated:** 07/10/2026