Individual
DR. BRIAN D. KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2014 S MAIN ST, SUITE B, GOSHEN, IN 46526-5220
(574) 533-8639
(574) 534-9542
Mailing address
2014 S MAIN ST, SUITE B, GOSHEN, IN 46526-5220
(574) 533-8639
(574) 534-9542
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100113620
—
IN
Enumeration date
01/23/2006
Last updated
01/13/2021
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