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Individual

MR. ELMER NOVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1540 LAKE LANSING RD, SUITE 102, LANSING, MI 48912-3756
(517) 913-3810
(517) 913-3911
Mailing address
1540 LAKE LANSING RD, SUITE 102, LANSING, MI 48912-3756
(517) 913-3810
(517) 913-3911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301045362
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0103302542
BLUE CARE NETWORK
MI
01
0M21440075
MEDICARE ADVANTAGE
MI
01
1053972
MCLAREN HEALTH ADVANTAGE
MI
01
7308733
AETNA
MI
01
P00874182
RAILROAD MEDICARE
MI
Enumeration date
08/05/2006
Last updated
01/17/2011
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