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Individual

MICHAEL JAMES NOWICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
16137
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120013
MS
05
1545911
LA
Enumeration date
06/17/2006
Last updated
06/21/2012
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