Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Novello Specialty Clinic PC

Organization Rheumatology Physician · NPI 1629716964

Novello Specialty Clinic PC is a Rheumatology Physician in Traverse City, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4100 Park Forest Dr Ste 200
Traverse City, MI 49684-7306
Phone: (231) 600-7466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Rheumatology Physician Taxonomy 207RR0500X
Urology Physician Taxonomy 208800000X

Record details

NPI number1629716964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristen Elliott — Director, Operations · (231) 360-0183
NPI enumeratedMay 26, 2022
Last updated in NPPESApril 9, 2025
Certification dateFebruary 10, 2025
Mailing address4290 Copper Ridge Dr Ste 110, Traverse City, MI 49684-7208

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