Individual
MR. BRENT ANDREW NOWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 452-9911
Mailing address
5755 S MAYFLOWER DR, LORAIN, OH 44053-4115
(440) 986-1144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
07/01/2022
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