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Contact Information

MARK J BRENNAN, MD
43650 GARFIELD RD
CILNTON TOWNSHIP, MI48038-7419
 Phone: 586-263-0820
 Fax: 586-263-3819
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK J BRENNAN · (Male)

NPI # 1225001746
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2006
Last updated 03/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301405324
  • MI Medicaid 4815088
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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