Individual
NICHOLAS BRENNECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11100 EUCLID AVE, (UNIVERSITY HOSPITALS, CLEVELAND MEDICAL CENTER), CLEVELAND, OH 44106-1716
(216) 844-2273
Mailing address
11100 EUCLID AVE, (UNIVERSITY HOSPITALS, CLEVELAND MEDICAL CENTER), CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
35.142731
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
09/12/2022
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