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Individual

DR. JAY I NOVETSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
44650 DELCO BLVD, STERLING HEIGHTS, MI 48313-1024
(586) 254-1770
(586) 254-3515
Mailing address
44650 DELCO BLVD, STERLING HEIGHTS, MI 48313-1024
(586) 254-1770
(586) 254-3515

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042263
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0500418
BCBSM
MI
05
3013728
MI
Enumeration date
11/16/2005
Last updated
01/06/2011
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