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Individual
BRIAN T NAM
Active
Individual
BRIAN T NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
54904-20
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C1-0010222
DE
Other
Enumeration date
02/23/2006
Last updated
12/17/2012
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