Provider Demographics
NPI:1568428399
Name:NEWMAN, JAMES M (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23985 NOVI RD
Mailing Address - Street 2:STE B101
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375
Mailing Address - Country:US
Mailing Address - Phone:248-305-9614
Mailing Address - Fax:248-305-9617
Practice Address - Street 1:23985 NOVI RD
Practice Address - Street 2:STE B101
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375
Practice Address - Country:US
Practice Address - Phone:248-305-9614
Practice Address - Fax:248-305-9617
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101006672208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4553780Medicaid
A75976Medicare UPIN
MI4553780Medicaid