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Individual

DR. JOEL NOVACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
20050 HARVARD ROAD, SUITE 205, WARRENSVILLE HEIGHTS, OH 44122-6805
(216) 491-9157
(216) 491-7245
Mailing address
PO BOX 391660, SOLON, OH 44139-8660
(440) 944-6665
(440) 944-6672

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36001391N
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0525800
OH
Enumeration date
06/29/2006
Last updated
03/22/2016
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