Individual
MRS. WANDA M NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
Mailing address
7929 JACKPOT AVE, SPARTA, WI 54656-3649
(608) 487-9133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2248-023
WI
Other
Enumeration date
02/20/2008
Last updated
12/21/2011
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