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Individual
WILLIAM GARRY BIRCH IV
Active
Individual
WILLIAM GARRY BIRCH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
28210202A
IN
363L00000X
Nurse Practitioner
Primary
71009617A
IN
Other
Enumeration date
07/26/2019
Last updated
05/25/2022
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