Individual
JACOB ALEXANDER MARTIN NOVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1037 WATER ST STE 1, PORT HURON, MI 48060-4408
(248) 967-7000
Mailing address
22644 RIDGEWAY ST, SAINT CLAIR SHORES, MI 48080-1476
(586) 216-2615
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
5101028607
MI
Other
Enumeration date
06/01/2020
Last updated
10/14/2025
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