Dr Ivan J Nosacek PA

NPI #1992807770 in Bowie, Maryland

Provider Information

NPI Number: 1992807770
Entity Type: Organization
Organization Name: Dr Ivan J Nosacek PA
Primary Specialty: Podiatrist
Enumeration Date: Sep 2, 2006
Last Updated: Jun 3, 2008

Practice Location

Address: 3006 MITCHELLVILLE RD
City: Bowie
State: Maryland
ZIP Code: 20716-1300
Phone: (301) 390-3338

Authorized Official

Name: IVAN JOHN NOSACEK, DPM
Title: PRESIDENT
Phone: (301) 390-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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