Individual
PATRICK JAMES BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ, SUITE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 725-0991
Mailing address
100 THEDA CLARK MEDICAL PLZ, SUITE 400, NEENAH, WI 54956-2763
(920) 725-4527
(920) 725-0991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44570
WI
2086S0102X
Surgical Critical Care Physician
44570
WI
2086S0127X
Trauma Surgery Physician
44570
WI
2086S0129X
Vascular Surgery Physician
44570
WI
208C00000X
Colon & Rectal Surgery Physician
44570
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34211900
—
WI
Enumeration date
05/11/2006
Last updated
05/08/2008
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