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Individual
MR. MARC CHRISTOPHER BREWER
Active
Individual
MR. MARC CHRISTOPHER BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-09206
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328337
ANTHEM
OH
05
—
2455794
—
OH
01
—
9342317
PHCS
OH
01
—
P00288201
MEDICARE RAILROAD
—
Enumeration date
07/13/2005
Last updated
02/03/2014
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