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Individual
TIMOTHY EDWARD BRENKERT
Active
Individual
TIMOTHY EDWARD BRENKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL28151
SC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35.097438
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD0000043708
TN
390200000X
Student in an Organized Health Care Education/Training Program
MD0000043708
TN
Other
Enumeration date
10/23/2006
Last updated
03/19/2015
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