Individual
WILLIAM MICHAEL BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 S MAIN ST, LAPEER, MI 48446-2467
(810) 664-0391
(810) 664-7079
Mailing address
540 S MAIN ST, LAPEER, MI 48446-2467
(810) 664-0391
(810) 664-7079
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
5302027722
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5302027722
STATE LICENSE
MI
Enumeration date
11/30/2019
Last updated
11/30/2019
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