Provider Demographics
NPI:1548068620
Name:NOVAK, DANIEL MICHAEL (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:MICHAEL
Last Name:NOVAK
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 W. MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CANISTOTA
Mailing Address - State:SD
Mailing Address - Zip Code:57012
Mailing Address - Country:US
Mailing Address - Phone:605-296-3431
Mailing Address - Fax:
Practice Address - Street 1:209 W. MAIN ST
Practice Address - Street 2:
Practice Address - City:CANISTOTA
Practice Address - State:SD
Practice Address - Zip Code:57012
Practice Address - Country:US
Practice Address - Phone:605-296-3431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1508111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor