Individual
CHARLES B BRIMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1130 W. MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202-5209
(317) 274-0076
Mailing address
1130 WEST MICHIGAN STREET, FESLER HALL 204, INDIANAPOLIS, IN 46202-5209
(317) 274-0076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R3803
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
11022760A
IN
Other
Enumeration date
03/28/2022
Last updated
10/29/2023
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