Individual
DR. RICHARD F NOWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
220 W. ELLSWORTH, MIDLAND, MI 48640-5194
(989) 832-6734
(989) 832-6628
Mailing address
220 W. ELLSWORTH, MIDLAND, MI 48640-5194
(989) 832-6734
(989) 832-6628
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
RN005318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0992312
HEALTH PLUS
MI
01
—
1849725
MEDICAID MIHP
MI
01
—
2842380
MEDICAID IMMUNIZATIONS
MI
01
—
5100706
MEDICAID FAMILY PLANNING
MI
Enumeration date
03/22/2007
Last updated
12/12/2007
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