Michael Victor Nowack, D.P.T

NPI #1407940497 in Spirit Lake, Idaho

Provider Information

NPI Number: 1407940497
Entity Type: Individual
Name: Michael Victor Nowack, D.P.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: D.P.T
Enumeration Date: Oct 3, 2006
Last Updated: Nov 30, 2015

Practice Location

Address: 6186 W MAINE
City: Spirit Lake
State: Idaho
ZIP Code: 83869
Phone: (208) 623-6717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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