Individual
MISS SUMMER DAWN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
522 MAIN ST, HIGHLAND, WI 53543-9779
(608) 393-6794
Mailing address
522 MAIN ST, HIGHLAND, WI 53543-9779
(608) 393-6794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223115-30
WI
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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