Individual
JOHN W. BRENEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 PHOENIX DR, UNIT A, CHAMBERSBURG, PA 17201-4534
(717) 263-4999
(717) 263-5522
Mailing address
PO BOX 584, SHIPPENSBURG, PA 17257-0584
(717) 263-4999
(717) 263-5522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD010487E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BR132293
HIGHMARK BCBS
PA
Enumeration date
05/25/2006
Last updated
07/08/2007
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