Individual
MR. MICHAEL LAWRENCE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6200 N HAGGERTY RD, CANTON, MI 48187-3605
(734) 526-8860
Mailing address
6200 N HAGGERTY, CANTON, MI 48187-1532
(734) 526-8860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007666
MI
Other
Enumeration date
02/08/2016
Last updated
05/17/2017
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