Individual provider · Type 1 NPI
Jacob Alexander Martin Novack, DO
Urology Physician · Port Huron, MI
Practice location
1037 Water St Ste 1
Port Huron, MI 48060-4408
Mailing address
22644 Ridgeway St
St. Clair Shores, MI 48080-1476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urology Physician Primary | 208800000X | 5101028607 (MI) |
Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Other urology physician providers in Port Huron
- Haider Rahbar, MDUrology Physician Port Huron, MI NPI 1154749232
- Glenn George Betrus, MDUrology Physician Port Huron, MI NPI 1376563130
- Shivashankar Damodaran, MDUrology Physician Port Huron, MI NPI 1528558277
- Marshall Kamer, MDUrology Physician Port Huron, MI NPI 1588684336
- Thomas Allan Coury, MDUrology Physician Port Huron, MI NPI 1770506370
About NPI 1669096111
Jacob Alexander Martin Novack, DO's National Provider Identifier is 1669096111, issued on Jun 1, 2020. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Port Huron, MI. The record was last updated on Oct 14, 2025.