Novus Michigan Professional Corporation
NPI #1710654876 in Saint Johns, Michigan
Provider Information
- NPI Number
- 1710654876
- Entity Type
- Organization
- Organization Name
- Novus Michigan Professional Corporation
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Aug 26, 2021
- Last Updated
- Feb 23, 2022
Practice Location
- Address
- 805 S OAKLAND ST
- City
- Saint Johns
- State
- Michigan
- ZIP Code
- 48879-2253
- Phone
- (989) 224-6881
Authorized Official
- Name
- CARRIE VAUGHAN
- Title
- PRACTICE MANAGER
- Phone
- (404) 419-0237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiology |
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