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Individual

DR. MARK IAN BRENIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
47 PENNY LN, SUITE 1, WATSONVILLE, CA 95076-6055
(831) 728-8844
(831) 763-1001
Mailing address
47 PENNY LN, SUITE 1, WATSONVILLE, CA 95076-6055
(831) 728-8844
(831) 763-1001

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3289
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E3289
CA
213ES0000X
Sports Medicine Podiatrist
E3289
CA
213ES0131X
Foot Surgery Podiatrist
E3289
CA

Other

Enumeration date
04/04/2006
Last updated
08/31/2016
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