Brenner, Dean Elliot
Brenner, Dean Elliot is an individual health care provider with primary practice located at 1500 East Medical Center Dr B1 Floor Cancer Recp D, Ann Arbor MI 48109-5913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Brenner, Dean Elliot can be contacted via phone (734) 647-8903.Contact Information
Primary practice address
1500 East Medical Center Dr B1 Floor Cancer Recp D
Ann Arbor MI 48109-5913
Phone: (734) 647-8903
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301054886 | Michigan |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 4301054886 | Michigan |
Profile Details
| NPI number | 1992881957 |
|---|---|
| LBN Legal business name | Brenner, Dean Elliot |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Feb 24th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992881957 | NPPES |
| Michigan | MEDICAID | 2589827 |
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