Individual
BRENDAN A KLUSZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL LN, SUITE 220, DANVILLE, IN 46122-1989
(317) 745-3758
(317) 745-3749
Mailing address
100 HOSPITAL LN, SUITE 220, DANVILLE, IN 46122-1989
(317) 745-3758
(317) 745-3749
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
01061768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000489493
BLUESHIELD
IN
05
—
200831120
—
IN
01
—
5010344
CIGNA
IN
01
—
7529813
AETNA
IN
Enumeration date
07/02/2006
Last updated
03/08/2021
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