Organization
PHILIP H. NOWAK, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H NOWAK OD (OD/OWNER)
(800) 353-5420
Entity
Organization
Contact information
Practice address
410 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-6123
(800) 353-5420
(812) 331-8049
Mailing address
PO BOX 1721, MARTINSVILLE, IN 46151-0721
(800) 353-5420
(812) 331-8049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002922
IN
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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