Individual
DR. BRUCE CARLTON BRINK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
410 N MAIN ST, PRINCETON, IN 47670-1516
(812) 386-7522
(812) 386-1097
Mailing address
1808 SHERMAN DR, PRINCETON, IN 47670-1043
(812) 385-3401
(812) 385-3401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02000610A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122180A
—
IN
05
—
300003786
—
IN
Enumeration date
08/16/2005
Last updated
12/12/2017
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