Organization
NORTHEAST INDIANA UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN B BRINKMAN (MD)
(260) 436-6667
Entity
Organization
Contact information
Practice address
304 N TOWNLINE RD, LAGRANGE, IN 46761-1319
(260) 436-6667
(260) 469-7437
Mailing address
2512 E DUPONT RD, SUITE 100, FORT WAYNE, IN 46825
(260) 436-6667
(260) 469-7437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/04/2008
Last updated
01/23/2012
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