Individual
MRS. MARY B. BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3840
Mailing address
19329 UPLAND CT, NORTHVILLE, MI 48167-1912
(248) 348-3207
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704115695
MI
Other
Enumeration date
04/14/2006
Last updated
09/28/2007
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