Individual
MICHELLE M. NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CRT
Contact information
Practice address
1257 S 52ND ST, WEST MILWAUKEE, WI 53214-3537
(414) 737-1744
Mailing address
1257 S 52ND ST, WEST MILWAUKEE, WI 53214-3537
(414) 737-1744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121905030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35070600
—
WI
Enumeration date
10/28/2008
Last updated
10/28/2008
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