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NPI Code Detail

MEDICARE: DR. JOHN MICHAEL NOWINS M.D.

MEDICARE:  DR. JOHN MICHAEL NOWINS  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician6310NV
2207V00000XObstetrics & Gynecology Physician6310NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NV1314OTHERNVBCBS
34297397OTHERNVAETNA

General Provider Information

NPI Number : 1912047176
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MICHAEL NOWINS M.D.
Provider Business Mailing Address
First Line : 3380 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-3313
Country : US
Telephone Number : 702-791-2946
Fax Number : 702-791-3912
Provider Business Practice Location Address
First Line : 3380 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-3313
Country : US
Telephone Number : 702-791-2946
Fax Number : 702-791-3912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 11/13/2007

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Directions to “ DR. JOHN MICHAEL NOWINS M.D.” Practice Location

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