Individual
DR. MICHAEL NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
633 N CENTRAL AVE, SUITE 305, GLENDALE, CA 91203-1801
(818) 244-7281
(818) 244-5912
Mailing address
633 N CENTRAL AVE, SUITE 305, GLENDALE, CA 91203-1801
(818) 244-7281
(818) 244-5912
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
G8405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G84050
—
CA
Enumeration date
10/06/2005
Last updated
10/20/2011
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