Individual
DR. BRIAN D SHIELDS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 8TH AVE NE, DEMOTTE, IN 46310-9108
(219) 987-3111
Mailing address
520 8TH AVE NE, DEMOTTE, IN 46310-9108
(219) 987-3111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009921A
IN
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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