IndividualActive
Philip Nowicki, MD
NPI 1366608986 · Pediatric Orthopaedic Surgery Physician · Grand Rapids, MI
Provider details
- NPI number
- 1366608986
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301093641 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
35 Michigan St Ne
Suite 4150
Grand Rapids, MI 49503-2514
Phone: (616) 267-2600
Fax: (616) 267-2601
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2021-02-24
- Certified
- 2021-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.