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Organization

NORTHEAST INDIANA UROLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BRINKMAN MD (PRESIDENT)
(260) 436-6667
Entity
Organization

Contact information

Practice address
815 HIGH ST, STE B, DECATUR, IN 46733-2351
(260) 436-6667
(260) 469-7437
Mailing address
2512 E DUPONT RD, SUITE 100, FORT WAYNE, IN 46825-1609
(260) 436-6667
(260) 469-7437

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
02/04/2008
Last updated
04/11/2013
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