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Individual

BRYAN E HAINLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
1002 WISHARD BLVD, INDIANAPOLIS, IN 46202-4163
(317) 944-3966
(317) 968-1354
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
01037809A
IN
207SG0202X
Clinical Biochemical Genetics Physician
01037809A
IN
207SG0203X
Clinical Molecular Genetics Physician
Primary
01037809A
IN
208000000X
Pediatrics Physician
01037809A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001012269
ANTHEM PTAN
IN
05
100131040
IN
Enumeration date
08/30/2006
Last updated
05/20/2025
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