Individual
CHARLES WYATT NEWBURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N WEST AVE, JACKSON, MI 49202-2179
(800) 284-8288
Mailing address
1200 N WEST AVE, JACKSON, MI 49202-2179
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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