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Individual
BRYAN NORKUS
Active
Individual
BRYAN NORKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01078701A
IN
207Q00000X
Family Medicine Physician
11017576A
IN
208M00000X
Hospitalist Physician
01078701A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001116519
ANTHEM PROVIDER NUMBER
IN
05
—
300007558
—
IN
Enumeration date
06/11/2014
Last updated
02/03/2021
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