Nowicki, Philip Daniel

Nowicki, Philip Daniel is an individual health care provider with primary practice located at 35 Michigan St Ne Suite 4150, Grand Rapids MI 49503-2514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Nowicki, Philip Daniel can be contacted via phone (616) 267-2600.

Contact Information

Primary practice address
35 Michigan St Ne Suite 4150 Grand Rapids MI 49503-2514
Phone: (616) 267-2600
Fax: (616) 267-2601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 4301093641 Michigan

Profile Details

NPI number 1366608986
LBN Legal business name Nowicki, Philip Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Feb 24th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366608986 NPPES
Michigan Other 0390297 BCBS
Michigan MEDICAID 1366608986 BCBS

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