Individual
LOUIS CONRAD BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6 13TH AVE E, POLSON, MT 59860-5315
(406) 883-5680
Mailing address
6 13TH AVE E, POLSON, MT 59860-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
28189
MT
Other
Enumeration date
11/06/2013
Last updated
04/23/2021
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