Individual
BRETT AUSTIN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8414 NAAB RD STE 100, INDIANAPOLIS, IN 46260-1972
(317) 338-7510
Mailing address
1614 ASHLEY DR, LEBANON, IN 46052-2087
(630) 749-0210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02008277A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
03/22/2022
Last updated
03/11/2025
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