Search › Wisconsin › 171400000X
Brandon Newsome
NPI 1972465490 · on the registry since 2025
Practice
- Address
- 1507 Conant St
Lake Geneva, WI 53147 - Phone
- (262) 755-3461
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin