Individual
BRETT J. GUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 N TOWNLINE RD STE 101, LAGRANGE, IN 46761-1325
(260) 463-9335
(260) 463-9334
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01051358A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200242270
—
IN
Enumeration date
03/15/2006
Last updated
11/04/2024
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