Organization
BRIAN J NOVACK DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J NOVACK DPM (PODIATRIST)
(216) 491-9151
Entity
Organization
Contact information
Practice address
20050 HARVARD AVE STE 105, WARRENSVILLE HEIGHTS, OH 44122-6800
(216) 491-9151
(216) 491-7243
Mailing address
29630 EUCLID AVE, WICKLIFFE, OH 44092-1829
(440) 944-6665
(440) 944-6672
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
36-002998N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2146270
—
OH
Enumeration date
01/23/2007
Last updated
02/08/2023
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