Individual
TIMOTHY W NOVEROSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 MEMORIAL DR, SOUTH BEND, IN 46601-1064
(574) 236-1888
(574) 236-1887
Mailing address
621 MEMORIAL DR, SOUTH BEND, IN 46601-1064
(574) 236-1888
(574) 236-1887
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
01038790A
IN
Other
Enumeration date
12/29/2005
Last updated
05/13/2008
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