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Tia Brodeur, MD
Obstetrics & Gynecology Physician in Indianapolis, Indiana
NPI 1730535162

Tia Brodeur is a Obstetrics & Gynecology Physician based in Indianapolis, IN. Tia Brodeur practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Tia Brodeur is 1730535162 and holds a License No. 042.0014788 (Indiana).

The current practice location address for Tia Brodeur is 550 University Blvd, Indianapolis, IN and can be reached out via phone at 317-944-8231 and via fax at 317-948-7300.

Location: 550 University Blvd, Indianapolis, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730535162
Provider Name
Tia Brodeur
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
550 University Blvd, Indianapolis, IN, 46219-4959
Phone Number
317-944-8231
Fax Number
317-948-7300
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300078645 05 IN
896330098 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
550 University Blvd
City
Indianapolis
State
Indiana
Zip
46202-5149
Phone Number
317-944-8231
Fax Number
317-948-7300
person
Provider Business Mailing Address Details
Address
550 University Blvd
City
Indianapolis
State
Indiana
Zip
46202-5149
Phone Number
317-944-8231
Fax Number
317-948-7300
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
042.0014788 (Vermont)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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