Organization
NORTHEAST INDIANA UROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRINKMAN M.D. (PRESIDENT)
(260) 436-6667
Entity
Organization
Contact information
Practice address
2217 DUBOIS DR, WARSAW, IN 46580-3212
(260) 436-6667
(260) 469-7437
Mailing address
2512 E DUPONT RD STE 100, FORT WAYNE, IN 46825-1609
(260) 436-6667
(260) 469-7437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081380
—
IN
Enumeration date
02/04/2008
Last updated
12/10/2012
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