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Individual

BRENT C BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01031147
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100236540
IN
Enumeration date
09/01/2005
Last updated
04/20/2016
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