Individual
GARY B BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23625 COMMERCE PARK DR SUITE 204, BEACHWOOD, OH 44122
(216) 255-5700
Mailing address
2689 STRUTHMORE DR, LIMA, OH 45806-1333
(419) 979-8267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35086925
OH
2085R0204X
Vascular & Interventional Radiology Physician
35-86925
OH
Other
Enumeration date
10/02/2006
Last updated
12/04/2013
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