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Individual

RICHARD L. BREMER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
211 BLOUNT AVE, SUITE 507, KNOXVILLE, TN 37920
(865) 525-0598
(865) 525-0598
Mailing address
PO BOX 779, JOHNSON CITY, TN 37605-0779
(423) 928-1145
(423) 928-1353

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
38506
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3894138
TN
01
4084881
BLUECROSS
TN
05
64099864
TN
01
7574239
AETNA
TN
Enumeration date
01/04/2006
Last updated
07/09/2007
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