Individual
MR. JOHN NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
489 STATE STREET, EASTERN MAINE MEDICAL CENTER, BANGOR, ME 04401
(207) 947-6336
(207) 947-6537
Mailing address
489 STATE STREET, BANGOR, ME 04401
(207) 947-6336
(207) 947-6537
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA870
ME
Other
Enumeration date
07/24/2006
Last updated
05/13/2008
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