Organization
DYNAMIC MANAGEMENT GROUP, LLC
Active
Other names
Dynamic Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE L NOVAK PA-C (OWNER)
(586) 585-6500
Entity
Organization
Contact information
Practice address
33464 SCHOENHERR RD STE 160, STERLING HEIGHTS, MI 48312-6392
(586) 585-6500
(586) 585-6852
Mailing address
33464 SCHOENHERR RD STE 160, STERLING HEIGHTS, MI 48312-6392
(586) 585-6500
(586) 585-6852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
10/11/2021
Last updated
10/28/2021
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