Individual
MICHAEL LEE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2808 NW 31ST ST, OKLAHOMA CITY, OK 73112-7407
(405) 844-7555
Mailing address
2041 NW 7TH ST, OKLAHOMA CITY, OK 73106-2409
(405) 436-2186
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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