Brenner, Michael Joel
Brenner, Michael Joel is an individual health care provider with primary practice located at 19900 Haggerty Rd , Livonia MI 48152-1054. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Brenner, Michael Joel can be contacted via phone (734) 936-8051.Contact Information
Primary practice address
19900 Haggerty Rd
Livonia MI 48152-1054
Phone: (734) 936-8051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 4301102509 | Michigan |
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | 4301102509 | Michigan |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207YS0012X | 4301102509 | Michigan |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 036-121585 | Illinois |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 036-121585 | Illinois |
Profile Details
| NPI number | 1023146776 |
|---|---|
| LBN Legal business name | Brenner, Michael Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Oct 26th, 2023 - about last year |
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 | 1023146776 | NPPES |
| Illinois | MEDICAID | 036121585 |
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