Individual
JUSTIN BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5333 MCAULEY DRIVE SUITE 2115, YPSILANTI, MI 48197
(734) 712-3971
Mailing address
911 WOODLAND DR, BOZEMAN, MT 59718-2763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MED-PHYS-LIC-136211
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
06/23/2024
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