Patrick R Brennan in South Lyon - Family Medicine

Patrick R Brennan - NPI 1770582793

Patrick R Brennan is a Family Medicine in South Lyon, Michigan. Patrick R Brennan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Patrick R Brennan is 1770582793. The last update date is 2007-07-08.

Patrick R Brennan's current location address is 22024 Pontiac Trl, South Lyon, Michigan. You can contact this provider via phone number 2484372525 and fax number 2484372526. The mailing address for Patrick R Brennan is 22024 Pontiac Trl, South Lyon, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick R Brennan
Address 22024 Pontiac Trl, South Lyon, Michigan
Phone Number 2484372525
Fax Number 2484372526
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1770582793
Provider Enumeration Date 2005-07-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22024 Pontiac Trl
City South Lyon
State Michigan (MI)
Post Code 481789410
Phone Number 2484372525
Fax Number 2484372526

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No PB5101014989
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7323572 MI AETNA
5631170 MI BLUE CROSS PROVIDER I.D.
139314 MI PREFERRED CHOICE
139314 MI CARE CHOICE

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FAQs about Patrick R Brennan

What is the unique identifier code issued to Patrick R Brennan by the Centers for Medicare & Medicaid Services (CMS)?

The Patrick R Brennan has been assigned the NPI (National Provider Identifier) 1770582793. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Patrick R Brennan's facilities are geographically located?

The facilities of Patrick R Brennan are physically situated at the following location: 22024 Pontiac Trl, South Lyon, MI, 481789410.

What is Patrick R Brennan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Patrick R Brennan's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1770582793 to Patrick R Brennan?

The Patrick R Brennan received its 1770582793 assignment from the Centers for Medicare & Medicaid Services on 2005-07-20.

When was the information pertaining to Patrick R Brennan most recently updated or revised?

The details related to Patrick R Brennan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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