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Search › Indiana › 207QS0010X

Jennifer Brake, MD

NPI 1093726713 · on the registry since 2006

Practice

Address
111 W Jefferson Blvd
Ste 100
South Bend, IN 46601
Phone
(574) 647-1669
Fax
(574) 239-6461
Organisation at this address
Beacon Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Also registered as
207Q00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-03-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana