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Individual

DR. BRIAN SCOTT SUCHARETZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01042730A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100462420A
IN
Enumeration date
07/22/2005
Last updated
03/17/2016
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