Provider Demographics
NPI:1083977185
Name:NOWAKOWSKI, ABBY (MD)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:NOWAKOWSKI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:25150 FORD RD
Mailing Address - Street 2:STE 200
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-3163
Mailing Address - Country:US
Mailing Address - Phone:313-520-6377
Mailing Address - Fax:313-277-0300
Practice Address - Street 1:3535 W 13 MILE RD
Practice Address - Street 2:SUITE 233
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6770
Practice Address - Country:US
Practice Address - Phone:248-551-0417
Practice Address - Fax:248-551-5010
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2019-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301101380207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology