Ethan Grant Novacinski

NPI #1083356406 in Des Moines, Iowa

Provider Information

NPI Number: 1083356406
Entity Type: Individual
Name: Ethan Grant Novacinski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 7, 2022
Last Updated: Sep 27, 2023

Practice Location

Address: 3200 GRAND AVE
City: Des Moines
State: Iowa
ZIP Code: 50312-4104
Phone: (515) 271-1569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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