Individual
NATHAN A NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME92253
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01631
BC/BS OF FL #
FL
01
—
ME92253
FL LICENSE #
FL
Enumeration date
09/20/2006
Last updated
07/09/2007
Update your record
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