Nowacek, Dustin G
Nowacek, Dustin G is an individual health care provider with primary practice located at 819 N Shiawassee St Ste 110 , Owosso MI 48867-1601. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neuromuscular Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Nowacek, Dustin G can be contacted via phone (989) 723-1390.Contact Information
Primary practice address
819 N Shiawassee St Ste 110
Owosso MI 48867-1601
Phone: (989) 723-1390
Fax: (989) 725-1415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301092655 | Michigan |
| Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine | 204R00000X | 4301092655 | Michigan |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 4301092655 | Michigan |
| Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | 4301092655 | Michigan |
Profile Details
| NPI number | 1699934604 |
|---|---|
| LBN Legal business name | Nowacek, Dustin G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2008 |
| Last updated | Nov 30th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699934604 | NPPES |
| Michigan | MEDICAID | 1699934604 |
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