Individual
DR. KEVIN MICHAEL NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, MC-49, GRAND RAPIDS, MI 49503-2560
(616) 391-1680
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301107363
MI
Other
Enumeration date
06/26/2015
Last updated
02/12/2021
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