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Individual

BRETT W ENGBRECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-8857
(317) 338-8858
Mailing address
8402 HARCOURT RD STE 830, INDIANAPOLIS, IN 46260-2096
(317) 338-8857

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD060010L
PA
2086S0120X
Pediatric Surgery Physician
Primary
MD060010L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013866800001
PA
Enumeration date
04/25/2006
Last updated
03/10/2022
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