Jennifer A Brake, MD

NPI #1093726713 in South Bend, Indiana

Provider Information

NPI Number
1093726713
Entity Type
Individual
Name
Jennifer A Brake, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine - Sports Medicine
Credential
MD
Enumeration Date
Aug 10, 2006
Last Updated
Mar 4, 2016

Practice Location

Address
111 W JEFFERSON BLVD
Address 2
STE 100
State
Indiana
ZIP Code
46601-1994
Phone
(574) 647-1669

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine
Family Medicine

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