Individual
TAMMY NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 N 21ST ST, SUPERIOR, WI 54880-5201
(715) 392-5611
Mailing address
6089 S STATE ROAD 35, SUPERIOR, WI 54880-8312
(715) 399-8980
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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