Individual
DR. TERRY ELIZABETH BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2833 LINCOLN STREET, SUITE 4, HIGHLAND, IN 46322
(219) 838-1581
(219) 838-9108
Mailing address
2833 LINCOLN STREET, SUITE 4, HIGHLAND, IN 46322
(219) 838-1581
(219) 838-9108
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01034966
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20001382OA
—
IN
Enumeration date
08/08/2006
Last updated
07/08/2007
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