Organization
BKRD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI KATHRYN ROSS-DOUGLAS M.D. (PRESIDENT)
(219) 561-6303
Entity
Organization
Contact information
Practice address
302 GARDEN TRL, MICHIGAN CITY, IN 46360-2710
(219) 561-6303
Mailing address
302 GARDEN TRL, MICHIGAN CITY, IN 46360-2710
(219) 561-6303
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01065198A
IN
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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