Individual
DR. MICHAEL J NEWMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-7878
(775) 982-4196
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3278
NV
207RC0000X
Cardiovascular Disease Physician
G33786
CA
207RI0011X
Interventional Cardiology Physician
Primary
3278
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041333
CAQH
—
05
—
1881686350
—
NV
01
—
G33786
MEDICAL LICENSE
CA
Enumeration date
08/19/2005
Last updated
03/21/2018
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