Basic Information
Provider Information
NPI: 1093979114
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SATKAMP
FirstName: BRETT
MiddleName: STEVEN
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6957 OAK LN
Address2:  
City: INDIANAPOLIS
State: IN
PostalCode: 462201035
CountryCode: US
TelephoneNumber: 3177260676
FaxNumber:  
Practice Location
Address1: 801 N STATE ST
Address2:  
City: GREENFIELD
State: IN
PostalCode: 461401270
CountryCode: US
TelephoneNumber: 3174625544
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/17/2008
LastUpdateDate: 02/28/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X01066563AINY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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