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Individual

DR. JOSEPH MICHAEL BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4999
(405) 949-3349
Mailing address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4999
(405) 949-3349

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
7472
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
T-2538
TEMPORARY STATE MEDICAL LICENSE
MS
Enumeration date
06/29/2012
Last updated
09/27/2021
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