Individual
MR. BRANDON NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 CONANT ST, LAKE GENEVA, WI 53147-1017
(262) 755-3461
Mailing address
1507 CONANT ST, LAKE GENEVA, WI 53147-1017
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
WI
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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