| Newport Professionals Ltd | |
|
11501 N Port Washington Rd G30 Mequon WI 53092-3465 | |
| (262) 241-8100 | |
| (262) 241-8200 |
| Full Name | Newport Professionals Ltd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 11501 N Port Washington Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Jeffrey E Taxman (PRESIDENT) |
| Authorized Official Contact | 2622418100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newport Professionals Ltd 11501 N Port Washington Rd G30 Mequon WI 53092-3465 Ph: (262) 241-8100 | Newport Professionals Ltd 11501 N Port Washington Rd G30 Mequon WI 53092-3465 Ph: (262) 241-8100 |
| NPI Number | 1114066628 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114066628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 26227 (Wisconsin) | Primary |
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