Brenner, Marielle Alyssa

Brenner, Marielle Alyssa is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Brenner, Marielle Alyssa can be contacted via phone (319) 353-6360.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 353-6360
Fax: (319) 353-7006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7025520 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01083722A Indiana
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X MD-49363 Iowa
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD-49363 Iowa

Profile Details

NPI number 1508398124
LBN Legal business name Brenner, Marielle Alyssa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2017
Last updated Aug 19th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508398124 NPPES
Indiana MEDICAID 300037013

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