Michael Raedy Novack
Michael Raedy Novack is a Student in an Organized Health Care Education/Training Program in Stanford, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
300 Pasteur DrStanford, CA 94305-2200
Phone: (419) 566-5164
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1902483811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 26, 2021 |
| Last updated in NPPES | July 29, 2026 |
| Certification date | July 29, 2026 |
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