Individual
DIANA LYNN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Mailing address
3960 W ROYAL DR, TRAVERSE CITY, MI 49684-9200
(231) 947-0404
(231) 947-2190
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301076485
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11301109
CAQH
—
05
—
5271015
—
MI
Enumeration date
05/13/2006
Last updated
08/08/2025
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