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Individual
DR. ANDREW S BRENNER
Active
Individual
DR. ANDREW S BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036052639
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052639
—
IL
Enumeration date
06/27/2006
Last updated
06/06/2008
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