Individual
MICHAEL JOEL BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19900 HAGGERTY RD, LIVONIA, MI 48152-1054
(734) 936-8051
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301102509
MI
207YS0012X
Sleep Medicine (Otolaryngology) Physician
4301102509
MI
207YS0123X
Facial Plastic Surgery Physician
Primary
4301102509
MI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
036-121585
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
036-121585
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121585
—
IL
Enumeration date
03/02/2007
Last updated
10/26/2023
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