| Andrea Nowak Md Pc | |
|
409 Plymouth Rd Ste 126 Plymouth MI 48170-4080 | |
| (734) 404-7002 | |
| (734) 468-0465 |
| Full Name | Andrea Nowak Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 409 Plymouth Rd Ste 126, Plymouth, Michigan |
| Authorized Official Name and Position | Andrea Nowak (SELF) |
| Authorized Official Contact | 3132055940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Nowak Md Pc 409 Plymouth Rd Ste 126 Plymouth MI 48170-4080 Ph: (734) 404-7002 | Andrea Nowak Md Pc 409 Plymouth Rd Ste 126 Plymouth MI 48170-4080 Ph: (734) 404-7002 |
| NPI Number | 1619372299 |
|---|---|
| Provider Enumeration Date | 10/25/2014 |
| Last Update Date | 08/22/2016 |
| Medicare PECOS PAC ID | 7012235054 |
|---|---|
| Medicare Enrollment ID | O20150423000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619372299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Andrea E Nowak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013921857 PECOS PAC ID: 9638230113 Enrollment ID: I20081202000583 |
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