| Newberry Medical, Pllc | |
|
12930 James St Suite 140 Holland MI 49424-8324 | |
| (616) 399-8650 | |
| (616) 399-8659 |
| Full Name | Newberry Medical, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 12930 James St, Holland, Michigan |
| Authorized Official Name and Position | Mark William Newberry (OWNER) |
| Authorized Official Contact | 6163998650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newberry Medical, Pllc 12930 James St Suite 140 Holland MI 49424-8324 Ph: (616) 399-8650 | Newberry Medical, Pllc 12930 James St Suite 140 Holland MI 49424-8324 Ph: (616) 399-8650 |
| NPI Number | 1912175472 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 01/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912175472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301067531 (Michigan) | Primary |
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