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Individual

BRETT WINDISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(760) 382-8592
Mailing address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(760) 382-8592

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1134706468

Other

Enumeration date
03/24/2021
Last updated
01/22/2025
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