Organization
NEWBERRY MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WILLIAM NEWBERRY M.D. (OWNER)
(616) 399-8650
Entity
Organization
Contact information
Practice address
12930 JAMES ST, SUITE 140, HOLLAND, MI 49424-8324
(616) 399-8650
(616) 399-8659
Mailing address
12930 JAMES ST, SUITE 140, HOLLAND, MI 49424-8324
(616) 399-8650
(616) 399-8659
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301067531
MI
Other
Enumeration date
02/18/2008
Last updated
01/03/2011
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