person
Jeffrey Gerard Brenner, PA-C
Medical Physician Assistant in Springport, Michigan
NPI 1295863314

Jeffrey Gerard Brenner is a Medical Physician Assistant based in Springport, MI and is specialized in Medical. Jeffrey Gerard Brenner practices in Springport, MI and has the professional credentials of PA-C. The NPI Number for Jeffrey Gerard Brenner is 1295863314 and holds a License No. 5601001774 (Michigan).

The current practice location address for Jeffrey Gerard Brenner is 400 E Main St, Springport, MI and can be reached out via phone at 517-857-4500 and via fax at 517-857-4510.

Location: 400 E Main St, Springport, MI, 49284-9774
person
Provider Profile Details
NPI Number
1295863314
Provider Name
Jeffrey Gerard Brenner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
400 E Main St, Springport, MI, 49284-9774
Phone Number
517-857-4500
Fax Number
517-857-4510
Provider Enumeration Date
03/01/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5601001774 01 MI STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
400 E Main St
City
State
Zip
49284-9774
Phone Number
517-857-4500
Fax Number
517-857-4510
person
Provider Business Mailing Address Details
Address
400 E Main St
City
State
Zip
49284-9774
Phone Number
517-857-4500
Fax Number
517-857-4510
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5601001774 (Michigan)
Definition
Definition to come...
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