Individual
MICHAELYN MARIE BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1130 N 204TH AVE, ELKHORN, NE 68022-1849
(402) 758-5452
(402) 758-5398
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 398-6254
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1140
NE
Other
Enumeration date
07/13/2006
Last updated
01/12/2015
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