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Individual

DR. MICHAEL J BRENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
2222 E HIGHLAND AVE, # 425, PHOENIX, AZ 85016-4872
(602) 667-6640
(602) 667-3191
Mailing address
2222 E HIGHLAND AVE, # 425, PHOENIX, AZ 85016-4872
(602) 667-6640
(602) 667-3191

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21272
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125436
AZ
Enumeration date
03/16/2006
Last updated
05/24/2011
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