Individual
MRS. MARYANN BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-0451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009377
ANTHEM BLUE CROSS
OH
05
—
2373506
—
OH
Enumeration date
08/17/2006
Last updated
07/08/2007
Update your record
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