NPI 1689889388 · live from the CMS NPI Registry
Michael Brennan, DO
Internal Medicine, Endocrinology, Diabetes & Metabolism in Saint Clair Shores, MI. National Provider Identifier 1689889388, active.
NPI record
| NPI | 1689889388 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Endocrinology, Diabetes & Metabolism 207RE0101X |
| Practice location | 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080 |
| Practice phone | 586-447-8021 |
| Mailing address | 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033 |
| Enumerated | May 14, 2007 |
| Last updated | August 21, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine | 2080A0000X | 5101016966 (MI) |
| Internal Medicine, Endocrinology, Diabetes & Metabolism primary | 207RE0101X | 5101016966 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.