Individual
CIARA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 391-3777
(616) 391-3755
Mailing address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 391-3777
(616) 391-3755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351053113
MI
208000000X
Pediatrics Physician
4351053113
MI
Other
Enumeration date
07/12/2019
Last updated
06/10/2025
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