Individual
MAXWELL JOSEPH BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6410
Mailing address
5 FIRST VILLAGE DR, PINEHURST, NC 28374-9495
(910) 235-4035
(910) 420-2064
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
798
NC
390200000X
Student in an Organized Health Care Education/Training Program
TR-157
NC
Other
Enumeration date
06/23/2020
Last updated
08/07/2023
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