Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 62548-20 | WI |
N | 207RI0200X | Infectious Disease | MD449509 | PA |
N | 207RI0200X | Infectious Disease | ME 118294 | FL |
N | 207RI0200X | Infectious Disease | P2382 | TX |
NPI | 1033378856 |
---|---|
Provider Name | Dr. Brian A.w. Temple |
First Address | Oshkosh, WI 54904-7668 |
Second Address | Williamsport, PA 17701-3100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09506716 | (05) | MS |
1033378856 | (05) | AL |