Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 20A9409 | CA |
N | 207V00000X | Obstetrician & Gynecologist | 34.011431 | OH |
NPI | 1306896451 |
---|---|
Provider Name | Dr. William Brian Newman |
First Address | Vandalia, OH 45377-2657 |
Second Address | Vandalia, OH 45377-2657 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 17/12/2021 |