Individual
GARRY LEE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
716 S COLLEGE AVE, RENSSELAER, IN 47978-3083
(219) 866-0485
(219) 866-0837
Mailing address
716 S COLLEGE AVE, RENSSELAER, IN 47978-3083
(291) 866-0485
(219) 866-0837
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02004413A
IN
Other
Enumeration date
06/27/2008
Last updated
07/02/2024
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