Individual
ROBERT J BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
635 BARNHILL DR RM 112, INDIANAPOLIS, IN 46202-5126
(317) 274-3772
Mailing address
1807 N BRENTWOOD LN, MUNCIE, IN 47304-2511
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2024
Last updated
12/10/2024
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