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Individual

JEFFREY BRAKORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219
(248) 425-9147
Mailing address
1500 N RITTER AVE, INDIANAPOLIS, IN 46219-3027
(248) 425-9147

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01079915A
IN

Other

Enumeration date
06/15/2016
Last updated
09/05/2019
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