Individual
MR. CHRISTIAN MICHAEL BRENNER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 896-6107
Mailing address
352 S DELSEA DR STE C, VINELAND, NJ 08360-5306
(856) 690-1616
(856) 896-6107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00153100
NJ
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
03/10/2023
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