Individual
STEPHAN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4628 MCPHERSON AVE, SAINT LOUIS, MO 63108-1937
(312) 208-7304
Mailing address
4628 MCPHERSON AVE, SAINT LOUIS, MO 63108-1937
(312) 208-7304
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2006014091
MO
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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