Individual
DEREK J NOVARA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4071
(313) 253-2000
Mailing address
18100 OAKWOOD BLVD, SUITE 100, DEARBORN, MI 48124-4071
(313) 253-2000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704212578
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4394656
—
MI
05
—
4835527
—
MI
Enumeration date
05/22/2006
Last updated
07/08/2007
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