Individual
BRIAN JOHN PARKER
Active
Individual
BRIAN JOHN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
4301082600
MI
2085R0202X
Diagnostic Radiology Physician
Primary
45621
WI
2085R0202X
Diagnostic Radiology Physician
45621020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35308600
—
WI
Enumeration date
05/14/2007
Last updated
06/13/2023
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