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Individual

BRETT GENENBACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
927 BROADWAY ST STE 201, QUINCY, IL 62301-2726
(217) 214-6267
(217) 223-9045
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085008555
IL
363AM0700X
Medical Physician Assistant
2024028120
MO

Other

Enumeration date
05/13/2020
Last updated
02/25/2026
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