Organization
NOVENZA PRACTICE GROUP
Active
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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