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Michael Alan Brenner, DO
Student in an Organized Health Care Education/Training Program in Scranton, Pennsylvania
NPI 1124472808

Michael Alan Brenner is a Student in an Organized Health Care Education/Training Program based in Scranton, PA. Michael Alan Brenner practices in Scranton, PA and has the professional credentials of DO. The NPI Number for Michael Alan Brenner is 1124472808 and holds a License No. (Pennsylvania).

The current practice location address for Michael Alan Brenner is 501 Madison Ave, Scranton, PA and can be reached out via phone at 210-219-4509.

Location: 501 Madison Ave, Scranton, PA, 18510-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124472808
Provider Name
Michael Alan Brenner
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
501 Madison Ave, Scranton, PA, 18510-2401
Phone Number
210-219-4509
Fax Number
Provider Enumeration Date
04/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 Madison Ave
City
Scranton
State
Pennsylvania
Zip
18510-2401
Phone Number
210-219-4509
Fax Number
person
Provider Business Mailing Address Details
Address
501 Madison Ave
City
Scranton
State
Pennsylvania
Zip
18510-2401
Phone Number
210-219-4509
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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