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Individual
MICHAEL A NOVAK
Active
Individual
MICHAEL A NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
048833
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
35-048833
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000027302
ANTHEM
OH
01
—
0004057921
AETNA
OH
05
—
0826931
—
OH
01
—
180030562
RAILROAD MEDICARE
OH
Enumeration date
06/20/2005
Last updated
06/28/2021
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