Individual
DR. KATIE D NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
03223 64TH ST, SOUTH HAVEN, MI 49090-7308
(269) 998-9947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
42149
SC
183500000X
Pharmacist
Primary
5302411738
MI
Other
Enumeration date
07/30/2019
Last updated
08/03/2019
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