Individual
MICHAEL BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
23715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1181
(586) 447-8021
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5101016966
MI
2080A0000X
Pediatric Adolescent Medicine Physician
5101016966
MI
Other
Enumeration date
05/14/2007
Last updated
08/21/2024
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