Individual
ANN LORENA NOVOSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527
(616) 391-8810
Mailing address
100 MICHIGAN STREET, NE, MAIL CODE 013, GRAND RAPIDS, MI 49503
(616) 267-0417
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301112764
MI
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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