Individual
DR. BRIAN ALFRED GENOVESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
8128 HAWTHORNE DR, MUNSTER, IN 46321-1413
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01076398A
IN
Other
Enumeration date
06/03/2013
Last updated
07/13/2016
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