Individual
BRIAN DAVID REICHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2235 DUBOIS DR, WARSAW, IN 46580-3212
(574) 267-8189
(574) 267-7554
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3513
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200808450
—
IN
Enumeration date
04/19/2006
Last updated
10/06/2020
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