Individual
ROMAN NOVATCHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13654 BROUGHAM, STERLING HEIGHTS, MI 48312
(586) 822-6827
Mailing address
13654 BROUGHAM, STERLING HEIGHTS, MI 48312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703099788
MI
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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