Individual
MICHAEL SCOTT NOSANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
433 W HIGH ST, BRYAN, OH 43506-1690
(419) 633-7389
(419) 636-8903
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35127231
OH
174400000X
Specialist
MN053930
MI
207Y00000X
Otolaryngology Physician
01075631A
IN
207Y00000X
Otolaryngology Physician
Primary
35.127231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2575723
—
MI
Enumeration date
04/12/2006
Last updated
07/01/2024
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