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NPI Code Detail

MEDICARE: LARRY BRINKMAN MD

MEDICARE: LARRY BRINKMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician036-068788IL
2207X00000XOrthopaedic Surgery Physician17962WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117962-875OTHERWITEMP WI STATE LIC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144294414
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARRY BRINKMAN MD
Provider Business Mailing Address
First Line : 824 ILLINOIS AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-3112
Country : US
Telephone Number : 715-342-7500
Fax Number :
Provider Business Practice Location Address
First Line : 824 ILLINOIS AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-3112
Country : US
Telephone Number : 715-342-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 02/17/2015

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