Individual
DR. MARK ANTHONY BRENNER
Active
Individual
DR. MARK ANTHONY BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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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