Individual
DR. GARY P BRAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 PROFESSIONAL WAY, KENDALLVILLE, IN 46755-2927
(260) 347-8556
(260) 347-8557
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037103
IN
207Q00000X
Family Medicine Physician
—
IN
Other
Enumeration date
06/11/2006
Last updated
07/21/2022
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