Individual
DR. RAYMOND W NOWACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701
(605) 719-1000
Mailing address
353 FAIRMONT BLVD, ATTEN MEDIAL STAFF SERVICES, RAPID CITY, SD 57701-6000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
7853
SD
Other
Enumeration date
06/16/2005
Last updated
01/03/2013
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