IndividualActive
Andrew Novak
NPI 1073052379 · Rehabilitation Practitioner · Grand Rapids, MI
Provider details
- NPI number
- 1073052379
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3492 Lake Dr Se
Grand Rapids, MI 49546-4338
Phone: (616) 957-4057
Approximate (ZIP-level) locationGet directions
Mailing address
3492 Lake Dr Se
Grand Rapids, MI 49546-4338
Registry dates
- Enumerated
- 2017-02-20
- Last updated
- 2017-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.