institution
Brian J Novack Dpm
Foot Surgery Podiatrist in Wickliffe, Ohio
NPI 1316092844

Brian J Novack Dpm is a Foot Surgery Podiatrist based in Wickliffe, OH and is specialized in Foot Surgery. Brian J Novack Dpm practices in Wickliffe, OH. The NPI Number for Brian J Novack Dpm is 1316092844 and holds a License No. 36001391N (Ohio).

The current practice location address for Brian J Novack Dpm is 29630 Euclid Ave, Wickliffe, OH and can be reached out via phone at 440-944-6665 and via fax at 440-944-6672.

Location: 29630 Euclid Ave, Wickliffe, OH, 44092-1829
institution
Provider Profile Details
NPI Number
1316092844
Provider Name
Brian J Novack Dpm
Credential
Provider Entity Type
Organization
Address
29630 Euclid Ave, Wickliffe, OH, 44092-1829
Phone Number
440-944-6665
Fax Number
440-944-6672
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000288591 01 OH BCBS
275645717008 01 OH MEDICAL MUTUAL
2146270 05 OH
institution
Provider Business Practice Location Address Details
Address
29630 Euclid Ave
City
State
Zip
44092-1829
Phone Number
440-944-6665
Fax Number
440-944-6672
person
Provider Business Mailing Address Details
Address
29630 Euclid Ave
City
State
Zip
44092-1829
Phone Number
440-944-6665
Fax Number
440-944-6672
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
36001391N (Ohio)
Definition
Definition to come...
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