Individual
DR. SCOTT IAN BRENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
18 ROYAL GLEN CT, WALNUT CREEK, CA 94595-1749
(925) 324-3655
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A19364
CA
207P00000X
Emergency Medicine Physician
Primary
5151013524
MI
Other
Enumeration date
03/21/2019
Last updated
05/11/2022
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