Individual provider · Type 1 NPI

Michael Alan Brenner, DO

Student in an Organized Health Care Education/Training Program · Scranton, PA

NPI number 1124472808 Active

Practice location

501 Madison Ave
Scranton, PA 18510-2401

Call (210) 219-4509 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1124472808

Michael Alan Brenner, DO's National Provider Identifier is 1124472808, issued on Apr 19, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Scranton, PA. The record was last updated on Apr 19, 2016.