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Individual

MICHAEL ERIC BREWER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115
Mailing address
3485 INDEPENDENCE DR, HOMEWOOD, AL 35209-5603
(205) 930-0920
(205) 445-0115

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29219
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0366100001
MC NSC
AL
01
102I348745
MEDICARE PTAN
AL
05
1073778452
AL
01
Z01932
VIVA
AL
Enumeration date
07/24/2008
Last updated
11/24/2014
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