Individual
MICHAEL L BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
M6542
TX
207XX0801X
Orthopaedic Trauma Physician
MD00047667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480634
—
WA
Enumeration date
05/02/2007
Last updated
12/03/2021
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