Individual
AMBERLY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1505 S COURT ST, SUITE 101, CROWN POINT, IN 46307-4809
(219) 757-6495
(219) 757-6481
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7241
(317) 528-4284
(317) 865-8355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01061157
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000721907
ANTHEM TRADITIONAL
IN
05
—
200532310
—
IN
Enumeration date
01/20/2006
Last updated
05/02/2013
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