Individual
MICHAEL D BRENNAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1101 CENTRAL SE, PMG EMERGENCY MEDICINE, ALBUQUERQUE, NM 87106
(505) 841-1125
(505) 841-1737
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0047
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92534279
—
NM
Enumeration date
10/12/2005
Last updated
12/01/2023
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