Individual
FREDERICK THEODORE NOWACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3216 14TH ST, MENOMINEE, MI 49858-1722
(906) 424-0418
Mailing address
3216 14TH ST, MENOMINEE, MI 49858-1722
(906) 424-0418
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MI
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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