Individual
BRANDY M PROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA -C
Contact information
Practice address
11900 N PENN ST, CARMEL, IN 46032-4693
(317) 663-7123
Mailing address
12428 OLD MERIDIAN ST UNIT 211, CARMEL, IN 46032-6114
(618) 339-4464
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10003236A
IN
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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