Individual provider · Type 1 NPI
Jeffrey Gerard Brenner, PA-C
Medical Physician Assistant · Springport, MI
NPI number
1295863314
Active
Practice location
400 E Main St, Ste 200
Springport, MI 49284-9774
Fax (517) 857-4510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601001774 (MI) |
Medical Physician Assistant: Definition to come...
About NPI 1295863314
Jeffrey Gerard Brenner, PA-C's National Provider Identifier is 1295863314, issued on Mar 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Springport, MI. The record was last updated on Mar 7, 2023.