JACOB ALEXANDER MARTIN NOVACK

PORT HURON, MI
NPI1669096111
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: MI  5101028607)
Enumeration Date2020-06-01
Last Update Date2025-10-14
Business Address
JACOB ALEXANDER MARTIN NOVACK DO
1037 WATER ST STE 1
PORT HURON, MI 48060-4408
Phone number: 248-967-7000
Mailing Address
JACOB ALEXANDER MARTIN NOVACK DO
22644 RIDGEWAY ST
SAINT CLAIR SHORES, MI 48080-1476
Phone number: 586-216-2615
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