MICHAEL VICTOR NOWACK

SPIRIT LAKE, ID
NPI1407940497
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00009579)
Enumeration Date2006-10-03
Last Update Date2015-11-30
Business Address
-- MICHAEL VICTOR NOWACK D.P.T
6186 W MAINE
SPIRIT LAKE, ID 83869
Phone number: 208-623-6717
Mailing Address
-- MICHAEL VICTOR NOWACK D.P.T
PO BOX 3482
POST FALLS, ID 83877-3482
Phone number: 208-209-6170