Individual
TAKAE MIZUKAMI BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2650 SHAWNEE MISSION PKWY, WESTWOOD, KS 66205-2003
(913) 588-7750
(913) 588-8766
Mailing address
5203 MCANANY DR, SHAWNEE, KS 66203-1528
(913) 588-7750
(913) 588-8766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-37946
KS
207R00000X
Internal Medicine Physician
TRN17303
FL
Other
Enumeration date
05/24/2012
Last updated
11/10/2015
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