Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CAROL JEAN NOVICKI
Active Sole ProprietorMRS. CAROL JEAN NOVICKI is a Podiatric Surgery healthcare provider located in ST. LOUIS PARK, Minnesota. NPI 1164073946 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · ST. LOUIS PARK, MN
Registration Details
- NPI Number
- 1164073946
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2019 (6.9012752364065 yrs)
- Last Updated
- Sep 24, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
4718 OTTAWA COURT SOUTHST. LOUIS PARK, MN, 554163229Browse MN providers · Browse ZIP 55416
- Phone
- 6122804886
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.