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Organization
BRINKS FAMILY PRACTICE PC
Active
Organization
BRINKS FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CARLTON BRINK DO (PRESIDENT OF THE CORP)
(812) 386-7522
Entity
Organization
Contact information
Practice address
410 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-7522
(812) 386-1097
Mailing address
410 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-7522
(812) 386-1097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50003963A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066740A
—
IN
Enumeration date
08/22/2005
Last updated
02/25/2013
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