Individual
GRETCHEN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000944
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01975373
—
PA
01
—
1345378
PERSONAL CHOICE BLUE CHOI
PA
01
—
2037984000
KEYSTONE HEALTHPLAN EAST
PW
01
—
7377317
AETNA
PA
01
—
BR1345378
BCBS PA BLUE SHIELD
PA
Enumeration date
10/06/2006
Last updated
07/08/2007
Update your record
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