Individual
ROBERT BRIAN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
814 LAPORTE AVE, PORTER MEMORIAL HOSPITAL, VALPARAISO, IN 46383-5860
(219) 465-4678
(219) 465-4722
Mailing address
113 E 4TH ST, MICHIGAN CITY, IN 46360-3301
(219) 873-3130
(219) 873-3132
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01041300A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5392576002
CIGNA
IN
01
—
83421
BC/BS
IN
Enumeration date
08/25/2005
Last updated
04/15/2008
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