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Individual

ERIC W NEWGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
191 MEMORIAL DR, SUITE 300, BERLIN, WI 54923-1241
(920) 361-5717
(920) 361-6361
Mailing address
3021 VOYAGER DR, GREEN BAY, WI 54311-8303
(920) 361-5717
(920) 361-6361

Taxonomy

Speciality
Code
Description
License number
State
207QS1201X
Sleep Medicine (Family Medicine) Physician
Primary
36180
WI
2083X0100X
Occupational Medicine Physician
36180
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30065200
WI
Enumeration date
08/02/2005
Last updated
10/30/2018
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