Individual
BRIAN CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01055708A
IN
2083X0100X
Occupational Medicine Physician
Primary
01055708A
IN
Other
Enumeration date
09/19/2007
Last updated
01/17/2017
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