Individual
ANN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1709
Mailing address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 358-1709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74817-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
12/21/2021
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