Individual
BRIAN DAVID RADICAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N DAN JONES RD STE 150, PLAINFIELD, IN 46168-2848
(317) 781-7328
(317) 781-7216
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28201644A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011453A
IN
Other
Enumeration date
02/23/2021
Last updated
09/18/2023
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