Individual
MS. MARTHA BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24579 BROADWAY AVE, OAKWOOD VILLAGE, OH 44146-6338
(440) 439-7976
Mailing address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP07212
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2523933
—
OH
01
—
P00213526
RR METRAHEALTH
OH
Enumeration date
05/10/2006
Last updated
07/08/2007
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