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Individual

ANTHONY FRANK NOVAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
183 E POMEROY ST, RIVER FALLS, WI 54022-3506
(715) 425-0115
(715) 425-6001
Mailing address
183 E POMEROY ST, RIVER FALLS, WI 54022-3506
(715) 425-0115
(715) 425-6001

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30071-20
WI
207W00000X
Ophthalmology Physician
30164
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
31500600
WI
Enumeration date
03/17/2006
Last updated
01/04/2012
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