| Novello Infusion Center | |
|
4290 Copper Ridge Dr Ste 130 Traverse City MI 49684-7256 | |
| (231) 252-0893 | |
| (231) 600-7058 |
| Full Name | Novello Infusion Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 4290 Copper Ridge Dr Ste 130, Traverse City, Michigan |
| Authorized Official Name and Position | Donovan Miske (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3134440167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novello Infusion Center 4290 Copper Ridge Dr Ste 130 Traverse City MI 49684-7256 Ph: (231) 252-0893 | Novello Infusion Center 4290 Copper Ridge Dr Ste 130 Traverse City MI 49684-7256 Ph: (231) 252-0893 |
| NPI Number | 1558949511 |
|---|---|
| Provider Enumeration Date | 03/31/2021 |
| Last Update Date | 10/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558949511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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