Individual
ANTHONY E BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HAWKINS DRIVE, IOWA CITY, IA 52242-1082
(319) 335-8896
(319) 335-8923
Mailing address
200 HAWKINS DRIVE, IOWA CITY, IA 52242-1082
(319) 335-8896
(319) 335-8923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001048
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48729
WELLMARK BCBS
IA
Enumeration date
09/27/2005
Last updated
09/28/2007
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