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Individual

PATRICK LOUIS BRINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3676
(330) 480-7979
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3676
(330) 480-7979

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.120700
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084261
OH
01
H200150
MEDICARE PTAN
OH
Enumeration date
06/28/2010
Last updated
12/11/2017
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