Individual provider · NPI-1

Takae Mizukami Brewer, M.D.

Internal Medicine · Westwood, KS

NPI number1649530510
StatusActive
Last updated in NPPESNov 10, 2015

Details

NPI
1649530510
Entity type
Individual (NPI-1)
Name
Takae Mizukami Brewer
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 24, 2012
Last updated
Nov 10, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine04-37946KSYes
207R00000X Internal MedicineTRN17303FL

Practice location

2650 Shawnee Mission Pkwy
Westwood, KS 66205-2003

Phone 913-588-7750 · Fax 913-588-8766

Mailing address

5203 Mcanany Dr
Shawnee, KS 66203-1528

Phone 913-588-7750 · Fax 913-588-8766

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