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Individual

MARK F BRINKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1705 N GOVERNMENT WAY, COEUR D ALENE, ID 83814-3444
(208) 765-8585
(208) 765-8486
Mailing address
426 S WIDE RIVER RD, POST FALLS, ID 83854-7149
(208) 777-1019

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M6488
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001704900
ID
Enumeration date
04/07/2006
Last updated
06/09/2010
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