| Doctor Name: | DR. WINDHAM BREMER |
| NPI Number: | 1174523864 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01023232A |
| Business Practice Address: | 301 W Homer St Michigan City, IN - 463604358 |
| Business Phone Number: | 2198727464 |
| Business Fax Number: | |
| Mailing Address: | 1353 E 1000 N, LA PORTE |
| State: | IN |
| Postal Code: | 463508642 |
| Phone Number: | 2197784790 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 01023232A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |