Individual
MRS. CARLA MARIA BRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1312 PROFESSIONAL BLVD STE 201, EVANSVILLE, IN 47714-8019
(812) 476-7523
Mailing address
1312 PROFESSIONAL BLVD STE 201, EVANSVILLE, IN 47714-8019
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01040814A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100329890A
—
IN
Enumeration date
07/28/2005
Last updated
05/14/2024
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