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Individual

THOMAS A NOVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
206 COOKSON DR, WEST BRANCH, IA 52358-9632
(319) 643-2516
(319) 643-5720
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3855
(319) 358-2737

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25505
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080042267
RAILROAD MEDICARE
IA
05
2031815
IA
Enumeration date
06/04/2006
Last updated
10/01/2012
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