Individual
DR. JOSEPH KAYSING NEWCOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 TRINITY LANE, SUITE 111, BLOOMINGTON, IL 61704-3738
(309) 663-6461
(309) 663-5711
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-098056
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360980562
—
IL
Enumeration date
07/19/2005
Last updated
10/27/2021
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