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Organization

NOVENZA PRACTICE GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARA SPARKS (CFO)
(812) 798-5688
Entity
Organization

Contact information

Practice address
5224 S EAST ST, SUITE 9, INDIANAPOLIS, IN 46227-1985
(317) 781-3604
(317) 780-3353
Mailing address
PO BOX 773463, DETROIT, MI 48277-3140

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201291940A
IN
01
DV6439
RAILROAD MEDICARE
IN
Enumeration date
02/19/2015
Last updated
02/11/2026
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