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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED MARK NOVICE, MD

Active

FRED MARK NOVICE, MD is a Dermatopathology healthcare provider located in BLOOMFIELD HILLS, Michigan. NPI 1265517635 is currently active in the NPPES registry. Verify at CMS.

Dermatopathology · BLOOMFIELD HILLS, MI

Registration Details

NPI Number
1265517635
Provider Type
Individual
Gender
Male
NPI Issued
Oct 26, 2006 (19.616586397408 yrs)
Last Updated
Oct 4, 2011
Licenses
4301406190 (MI)
4301406190 (MI)
16422 (OK)

Practice Information

Address
4120 WEST MAPLE ROAD
SUITE 206
BLOOMFIELD HILLS, MI, 48301
Browse MI providers · Browse ZIP 48301
Phone
2489323376
Fax
2489321046
Primary Specialty
Dermatopathology
207ND0900X
Additional Specialty
Dermatopathology

Other Dermatopathology Providers in BLOOMFIELD HILLS, MI

Name Credential NPI
NELDAGAE S CHISA M.D. 1841274032
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.