Individual
DR. THOMAS W NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FLP
Contact information
Practice address
2193 ASSOCIATION DR STE 100, OKEMOS, MI 48864-4904
(517) 349-2661
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301003237
MI
Other
Enumeration date
04/26/2006
Last updated
04/05/2017
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