Individual
DR. MARTIN BRIESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 STATE ST, NEW ALBANY, IN 47150-4990
(502) 625-5584
(502) 426-2264
Mailing address
320 WHITTINGTON PKWY, SUITE 301, LOUISVILLE, KY 40222-4928
(502) 625-5584
(502) 426-2264
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01067924A
IN
207L00000X
Anesthesiology Physician
57010440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000664767
ANTHEM
IN
01
—
115794
SIHO
IN
05
—
200984490
—
IN
01
—
3783137000
PASSPORT ADVANTAGE
IN
01
—
50028804
PASSPORT
IN
05
—
7100118850
—
KY
Enumeration date
05/25/2007
Last updated
05/04/2016
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