Organization
BRIAN J NOVACK DPM INC
Active
Other names
Brian J Novack DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J NOVACK DPM (PRESIDENT)
(440) 944-6665
Entity
Organization
Contact information
Practice address
29630 EUCLID AVE, WICKLIFFE, OH 44092-1829
(440) 944-6665
(440) 944-6672
Mailing address
29630 EUCLID AVE, WICKLIFFE, OH 44092-1829
(440) 944-6665
(440) 944-6672
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002998
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111152
—
OH
Enumeration date
01/23/2007
Last updated
02/08/2023
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