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Individual

DR. DAVID J BROCKMAN

Active
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Individual

DR. DAVID J BROCKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01040664A
IN
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301060697
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10093210
IN
01
M87690002
MEDICARE
MI
Enumeration date
05/22/2006
Last updated
10/22/2007
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