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

JACOB ALEXANDER MARTIN NOVACK, DO

Active

JACOB ALEXANDER MARTIN NOVACK, DO is a Urology healthcare provider located in PORT HURON, Michigan. NPI 1669096111 is currently active in the NPPES registry. Verify at CMS.

Urology · PORT HURON, MI

Registration Details

NPI Number
1669096111
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2020 (6.221082994304 yrs)
Last Updated
Oct 14, 2025
License
5101028607 (MI)

Practice Information

Address
1037 WATER ST STE 1
PORT HURON, MI, 480604408
Browse MI providers · Browse ZIP 48060
Phone
2489677000
Primary Specialty
Urology
208800000X

Other Urology Providers in PORT HURON, MI

Name Credential NPI
MARSHALL KAMER M.D. 1588684336
GLENN GEORGE BETRUS M.D. 1376563130
THOMAS ALLAN COURY M.D. 1770506370
MR. HAIDER RAHBAR MD 1154749232
SHIVASHANKAR DAMODARAN MD 1528558277
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.