Individual
MR. MICHAEL BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WESTSIDE DR, DOTHAN, AL 36303-1908
(334) 793-2237
Mailing address
111 BARTLET LN, DOTHAN, AL 36305-1039
(334) 398-1404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3548
AL
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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