Individual
DR. KEITH NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3443 MEDINA RD, #108, MEDINA, OH 44256-5360
(216) 524-7377
(330) 764-3074
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-073422
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185200
—
OH
Enumeration date
08/25/2006
Last updated
10/09/2013
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