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

Novus Michigan Professional Corporation

Organization Anesthesiology Physician · NPI 1710654876

Novus Michigan Professional Corporation is an Anesthesiology Physician in Saint Johns, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

805 S Oakland St
Saint Johns, MI 48879-2253
Phone: (989) 224-6881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X
Certified Registered Nurse Anesthetist Taxonomy 367500000X

Record details

NPI number1710654876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carrie Vaughan — Practice Manager · (404) 419-0237
NPI enumeratedAugust 26, 2021
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022
Mailing addressPo Box 12766, Pensacola, FL 32591-2766