| NPI | 1992807770 |
|---|---|
| Doing Business As | IVAN J. NOSACEK DPM |
| Entity Type | Organization |
| Authorized Contact | IVAN JOHN NOSACEK President 301-390-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 00982) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-06-03 |