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Individual

JACOB BRENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4392
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4392

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9142
NE

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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