# MICHAEL JOEL BRENNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023146776
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 4301102509 | MI | — |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 4301102509 | MI | — |
| 207YS0123X | Facial Plastic Surgery Physician | 4301102509 | MI | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 036-121585 | IL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 036-121585 | IL | — |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 10/26/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036121585 | — | IL |