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NPI Code Detail

MEDICARE: DR. F GREGORY NOVESKE MD

MEDICARE: DR. F GREGORY NOVESKE MD
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
12084P0800XPsychiatry Physician35037621NOH

Other Identifiers

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

General Provider Information

NPI Number : 1730178872
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. F GREGORY NOVESKE MD
Provider Business Mailing Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-7232
Provider Business Practice Location Address
First Line : 6140 S BROADWAY
Second Line :
City : LORAIN
State : OH
Zip : 44053-3821
Country : US
Telephone Number : 440-233-7232
Fax Number : 440-233-9070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 09/06/2012

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Directions to “ DR. F GREGORY NOVESKE MD” Practice Location

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