Organization
BRINKS FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE CARLTON BRINK DO (PRESIDENT OF THE CORP)
(812) 386-7522
Entity
Organization
Contact information
Practice address
410 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-7522
(812) 386-1097
Mailing address
410 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-7522
(812) 386-1097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50003963A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200066740A
—
IN
Enumeration date
08/22/2005
Last updated
02/25/2013
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