Individual
DR. MARK ANTHONY BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2380 TROOP DRIVE, SUITE 201, SARTELL, MN 56377-4637
(320) 252-5599
(320) 253-4585
Mailing address
2380 TROOP DRIVE, SUITE 201, SARTELL, MN 56377-4637
(320) 252-5599
(320) 253-4585
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
2229
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26817BR
BLUECROSS/BLUE SHIELD
MN
05
—
808328200
—
MN
Enumeration date
10/26/2006
Last updated
01/04/2017
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