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1255382628
MARK A BROCKMAN
LOUISVILLE, KY
NPI
1255382628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: KY 26812)
Enumeration Date
2006-05-12
Last Update Date
2022-10-05
Business Address
MARK A BROCKMAN MD
5109 NEW CUT RD
LOUISVILLE, KY 40214-2745
Phone number: 502-361-1197
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Mailing Address
MARK A BROCKMAN MD
PO BOX 776351
CHICAGO, IL 60677-6351
Phone number: 502-588-9490
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