Individual
PATRICIA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-4100
Mailing address
3601 W 13 MILE RD, 400- FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5101010223
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3439780
—
MI
Enumeration date
03/29/2006
Last updated
07/08/2007
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