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Individual

DR. BRIAN MICHAEL HUGHES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 246-8816
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 246-8816

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
01071860
IN
208600000X
Surgery Physician
036.121927
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201118050
IN
Enumeration date
10/28/2008
Last updated
01/31/2014
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