| Newberry Group, Inc. | |
|
125 S Main St Ste. B West Bend WI 53095-3361 | |
| (262) 338-1900 | |
| (262) 338-1837 |
| Full Name | Newberry Group, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 125 S Main St, West Bend, Wisconsin |
| Authorized Official Name and Position | Gene F Braaksma (PRESIDENT, OWNER) |
| Authorized Official Contact | 2623381900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newberry Group, Inc. 125 S Main St Ste. B West Bend WI 53095-3361 Ph: (262) 338-1900 | Newberry Group, Inc. 125 S Main St Ste. B West Bend WI 53095-3361 Ph: (262) 338-1900 |
| NPI Number | 1215056080 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 10/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215056080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1236 057 (Wisconsin) | Primary |
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