Individual
DR. BRENNA S MONSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 962-3886
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01070703A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01070703A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201129150
—
IN
Enumeration date
07/03/2008
Last updated
05/16/2022
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