Individual
MARGARET A BRUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Mailing address
209 MARTIN LUTHER KING JR. WAY, TACOMA, WA 98405-4267
(509) 241-7195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01039344
IN
207P00000X
Emergency Medicine Physician
Primary
MD60309654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082210
ANTHEM
IN
05
—
100103240
—
IN
05
—
102764201
—
MI
01
—
110050650
RAIL RAOD MEDICARE
IN
Enumeration date
07/29/2005
Last updated
03/13/2018
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