Indiana
Professional Licensing Agency
Michael R. Nowacki
Physician
License number
01063508A
Date granted
04/11/2007
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Goshen KY 40026
indianalicensing.org
ID 6056697
LAST UPDATED 2026-05-26 20:45:50 UTC
LAST UPDATED 2026-05-26 20:45:50 UTC
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