Individual
KELSEY ANNE BRENGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20769 E 13 MILE RD, ROSEVILLE, MI 48066-4503
(586) 872-2288
Mailing address
614 SAINT CHARLES CT, ROYAL OAK, MI 48067-1928
(313) 820-0926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009233
MI
Other
Enumeration date
05/24/2019
Last updated
05/21/2024
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