Organization
HPCN
Active
Other names
DRS BRENNEMAN
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA ELLISON (MGR)
(231) 728-1678
Entity
Organization
Contact information
Practice address
1715 PECK ST, MUSKEGON, MI 49441-2507
(231) 722-7128
(231) 722-2598
Mailing address
1715 PECK ST, MUSKEGON, MI 49441-2507
(231) 722-7128
(231) 722-2598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
09/19/2007
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