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Contact Information

MARK A BRENNER, D.C.
2380 TROOP DRIVE
SUITE 201
SARTELL, MN56377-4637
 Phone: 320-252-5599
 Fax: 320-253-4585
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MARK A BRENNER · (Male)

NPI Number 1013092162
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 10/26/2006
Last updated 01/04/2017 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 2229
  • MN Medicaid 808328200
  • MN Other 26817BR BLUECROSS/BLUE SHIELD
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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