Michael J. Brenner MD

NPI 1023146776 - Otolaryngology - 207YX0007X

NPI Details
NPI 1023146776
Gender Male
Enumeration Date 03/02/2007
Last Updated 10/08/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
19900 HAGGERTY RD
SUITE 103
LIVONIA MI, 48152-1054, US
Phone (734) 432-7634
Fax (734) 432-7660
Business Location
3621 S STATE ST
700 KMS PLACE
ANN ARBOR MI, 48108-1633, US
Phone (734) 936-2047
Fax
Toxanomy
Taxonomy Code 207YX0007X
License State Illinois
License Number 036-121585
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According to our database, Dr. Michael J. Brenner MD NPI is 1023146776, taxonomy code is 207YX0007X and license number is 036-121585, license state is located at Illinois. Michael J. Brenner MD physically located at 19900 Haggerty Rd, Livonia MI, 48152-1054. NPI Number Michael J. Brenner MD has the Individual type.

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1023146776 NPI number is provided on an as is basis without warranty of any kind. 1023146776 is maintained by the National Plan & Provider Enumeration System. The contents of Michael J. Brenner MD are for informational purposes only.