Individual
CHARLES M BROHM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 KRESGE WAY, LOUISVILLE, KY 40207-4605
(502) 259-5391
(502) 259-9733
Mailing address
PO BOX 34748, LOUISVILLE, KY 40232-4748
(502) 259-5391
(502) 259-9733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01039758A
IN
207L00000X
Anesthesiology Physician
Primary
14421
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04144215
—
KY
Enumeration date
07/22/2005
Last updated
07/08/2007
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