Individual
DR. SRBISLAV N BRASOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W 10TH ST, SUITE 100, HOBART, IN 46342-5990
(219) 738-2742
(219) 942-0740
Mailing address
7903 E 97TH AVE, CROWN POINT, IN 46307-8599
(219) 738-2742
(219) 942-0740
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
01022104A
IN
207VG0400X
Gynecology Physician
036103826
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229829
BLUECROSSBLUESHIELD
IN
Enumeration date
12/16/2006
Last updated
08/04/2010
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