Individual
STEPHEN MICHAEL BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 CORPORATE CENTER DR STE 400, OCONOMOWOC, WI 53066-4883
(262) 646-6311
Mailing address
34700 VALLEY RD, OCONOMOWOC, WI 53066-4500
(262) 646-4411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
81856
IA
2084P0800X
Psychiatry Physician
81856
IA
2084P0800X
Psychiatry Physician
Primary
81856
WI
Other
Enumeration date
03/20/2018
Last updated
01/11/2024
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