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Individual

ROBERT W BRANDT

Active
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Individual

ROBERT W BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01031140
IN
207L00000X
Anesthesiology Physician
Primary
01031140A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001566201
ANTHEM PTAN
IN
05
100473590
IN
Enumeration date
06/14/2006
Last updated
05/17/2025
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