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Individual
BROCK CARL HARNISCH
Active
Individual
BROCK CARL HARNISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
1476109
IN
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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