Philip Daniel Nowicki
Pediatric Orthopaedic Surgeon
35 Michigan St Ne Suite 4150
Grand Rapids
, Michigan 49503-2514
Philip Daniel Nowicki
Pediatric Orthopaedic Surgeon
35 Michigan St Ne Suite 4150
Grand Rapids
, Michigan 49503-2514
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About
Features
Specialties
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Philip Daniel Nowicki
- 100 Michigan St Ne Mc 845
- Grand Rapids, MI
- Zip : 49503-2560
- Phone :
Second Address
- Philip Daniel Nowicki
- 35 Michigan St Ne Suite 4150
- Grand Rapids, MI
- Zip : 49503-2514
- Fax : (616) 267-2601
- Phone : (616) 267-2600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 4301093641 | MI |
National Provider Identifier
| NPI | 1366608986 |
|---|---|
| Provider Name | Philip Daniel Nowicki |
| First Address | Grand Rapids, MI 49503-2560 |
| Second Address | Grand Rapids, MI 49503-2514 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2008 |
| Last Update Date | 24/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0390297 | BCBS (01) | MI |
| 1366608986 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.