Individual
MRS. STACY ANN NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
24230 KARIM BLVD, NOVI, MI 48375-2960
(248) 745-4900
(248) 994-8005
Mailing address
24230 KARIM BLVD, NOVI, MI 48375-2960
(248) 745-4900
(248) 994-8005
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704272127
MI
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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