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Individual
DR. MICHELE E BRENNER
Active
Individual
DR. MICHELE E BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
D0056708
MD
208000000X
Pediatrics Physician
Primary
D0056708
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006
CAREFIRST
—
01
—
10752
JHHC
—
01
—
226883
KAISER
—
01
—
60890501
BCBS
MD
01
—
60890501
CAREFIRST
—
05
—
973701400
—
MD
01
—
Y1220002
BCBS
DC
Enumeration date
10/10/2005
Last updated
08/01/2011
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