Individual
RICHARD MICHAEL BRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
502 COBB ST, CADILLAC, MI 49601-2577
(231) 775-1248
(231) 775-1156
Mailing address
502 COBB ST, CADILLAC, MI 49601-2577
(231) 775-1248
(231) 775-1156
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101312
PROF CHOICES
MI
01
—
1160590001
MEDICARE DMERC
MI
01
—
180017224
MEDICARE RR
MI
01
—
1808324011
BLUE CROSS
MI
05
—
2933583
—
MI
Enumeration date
12/29/2005
Last updated
04/20/2010
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