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Individual
TIMOTHY J BREI
Active
Individual
TIMOTHY J BREI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
01037780
IN
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
60362308
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100130650
—
IN
05
—
1710094131
—
MI
01
—
350593390-042
TRICARE-DEAC-350593390
—
05
—
64882285
—
KY
Enumeration date
08/23/2006
Last updated
08/08/2013
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