Individual
DR. BRANDT L LUDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
628 S CHRISTOPHER DR, BLOOMINGTON, IN 47401-4899
(812) 323-0400
Mailing address
628 S CHRISTOPHER DR, BLOOMINGTON, IN 47401-4899
(812) 323-0400
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
26302
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100345340A
—
IN
Enumeration date
11/03/2005
Last updated
04/10/2019
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