Individual
BRENDAN M MARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 MEDICAL PARK RD STE 303, MOORESVILLE, NC 28117-8525
(704) 660-4584
(704) 660-4967
Mailing address
34 CONSERVATION CT, LA SALLE, IL 61301-9649
(517) 488-7938
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036177290
IL
208600000X
Surgery Physician
2018-02219
NC
208600000X
Surgery Physician
MD449620
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052775
—
OH
05
—
102763029
—
PA
Enumeration date
12/24/2007
Last updated
01/28/2026
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