Individual
DEAN ELLIOT BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR CANCER RECP D, ANN ARBOR, MI 48109-5913
(734) 647-8903
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301054886
MI
207RX0202X
Medical Oncology Physician
Primary
4301054886
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2589827
—
MI
Enumeration date
10/31/2006
Last updated
02/24/2012
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