Organization
BROOKS MED GROUP CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHADWICK (CEO)
(317) 487-9287
Entity
Organization
Contact information
Practice address
5144 E STOP 11 RD, INDIANAPOLIS, IN 46237-8674
(317) 487-9287
Mailing address
5144 E STOP 11 RD, INDIANAPOLIS, IN 46237-8674
(317) 487-9287
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01024444A
IN
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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