Individual
DR. ELAINE M BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 HAGGERTY RD, 2150, WEST BLOOMFIELD, MI 48323-2184
(248) 926-6610
(248) 926-6611
Mailing address
2300 HAGGERTY RD, 2150, WEST BLOOMFIELD, MI 48323-2184
(248) 926-6610
(248) 926-6611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301053483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0F37550
BCBSM
MI
05
—
104530972
—
MI
01
—
383468933
COMMERCIAL INSURANCE CO.
MI
01
—
F01718
HAP
MI
01
—
P00055649
RAILROAD MEDICARE
MI
Enumeration date
03/24/2006
Last updated
06/28/2011
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