Individual
DR. STEPHEN T NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1207 FAIRCHILD CT, WOODLAND, CA 95695-4321
(530) 668-2600
(530) 669-5627
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A078949
CA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A78949
CA
Other
Enumeration date
12/05/2005
Last updated
11/18/2016
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