Individual
MICHAEL J NOWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1932 ALCOA HWY STE 270, KNOXVILLE, TN 37920-1537
(865) 251-4658
(865) 251-4659
Mailing address
1932 ALCOA HWY, STE 270, KNOXVILLE, TN 37920-1537
(865) 251-4658
(865) 251-4659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10410
MN
363A00000X
Physician Assistant
Primary
3305
TN
363AS0400X
Surgical Physician Assistant
1692
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41984300
—
WI
05
—
ENROLLED
—
MN
Enumeration date
06/13/2005
Last updated
02/13/2018
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