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Individual

ZACHARY NOWAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2680 LEONARD ST NE STE 3, GRAND RAPIDS, MI 49525-6902
(616) 317-7246
(616) 920-6540
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301506756
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301506756
MI
208VP0014X
Interventional Pain Medicine Physician
4301506756
MI

Other

Enumeration date
07/10/2017
Last updated
09/24/2025
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