Individual
BRYAN G CUNNINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1007 LINCOLNWAY, LAPORTE, IN 46350-3201
(219) 326-2403
(219) 326-2385
Mailing address
1007 LINCOLNWAY, POST OFFICE BOX 1539, LAPORTE, IN 46350-3201
(219) 326-2403
(219) 326-2385
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01036025A
IN
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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