Individual
DR. MARTIN BRIESCHKE
Active
Individual
DR. MARTIN BRIESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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