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Individual

DR. JOHN NOVAK PASALICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7221 ENGLE RD STE 220, FORT WAYNE, IN 46804-2233
(260) 469-8223
(260) 469-8201
Mailing address
7221 ENGLE RD STE 220, FORT WAYNE, IN 46804-2233
(260) 469-8223
(260) 432-4969

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01024054A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0787386
OH
05
100318870
IN
05
1831160001
MI
Enumeration date
01/27/2006
Last updated
01/07/2025
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