Individual
DR. EDWARD E NEWCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14705 W UPRIGHT ST, CHARLEVOIX, MI 49720-1949
(231) 547-1308
(231) 392-7332
Mailing address
14705 W UPRIGHT ST, CHARLEVOIX, MI 49720-1949
(231) 547-1308
(231) 392-7332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EN 045102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813093
—
MI
Enumeration date
08/18/2005
Last updated
05/04/2021
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