Individual
DR. ROBERT MAURICE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
70 PARK AVE W, MANSFIELD, OH 44902-1624
(419) 525-1207
(419) 525-0030
Mailing address
70 PARK AVE WEST, MANSFIELD, OH 44902
(419) 525-1207
(419) 525-0030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3398
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406742
—
OH
Enumeration date
05/23/2006
Last updated
06/23/2011
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