Individual
RICHARD MICHAEL BRENZ
Active
Individual
RICHARD MICHAEL BRENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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