Individual
STEPHANIE A BRAZUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 WESTFIELD RD, 100, NOBLESVILLE, IN 46060-1443
(317) 773-5876
(317) 776-0363
Mailing address
PO BOX 775985, CHICAGO, IL 60677-5985
(317) 770-6900
(317) 770-6911
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01045567
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355759
ANTHEM
—
05
—
200270200
—
IN
01
—
Q0084550
SHO
—
Enumeration date
12/28/2005
Last updated
09/18/2020
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