Individual
MR. ALAN J BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 NAVARRE PL, SUITE 5570, SOUTH BEND, IN 46601-1169
(574) 233-6620
(574) 233-6224
Mailing address
100 NAVARRE PL, STE 5570, SOUTH BEND, IN 46601-1169
(574) 233-6620
(574) 233-6224
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01039340
IN
207RR0500X
Rheumatology Physician
01039340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000226107
BLUE CROSS
IN
Enumeration date
07/01/2006
Last updated
12/14/2007
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