Individual
DR. BRANT S SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 BLUE RIDGE RD, EVANSVILLE, IN 47714-0629
(812) 449-2733
Mailing address
701 BLUE RIDGE RD, EVANSVILLE, IN 47714-0629
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01048158A
IN
207Q00000X
Family Medicine Physician
Primary
01048158A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200236040
—
IN
Enumeration date
09/15/2005
Last updated
11/12/2013
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