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Mary B. Brennan, CRNA

Nurse Anesthetist, Certified Registered in Ypsilanti, MI. Individual provider (NPI-1).

NPI number1922062009
StatusActive
Last updated in NPPESSep 28, 2007

Details

NPI
1922062009
Entity type
Individual (NPI-1)
Name
Mrs. Mary B. Brennan
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2006
Last updated
Sep 28, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered4704115695MIYes

Practice location

5301 E Huron River Dr
Ypsilanti, MI 48197-1051

Phone 734-712-3840

Mailing address

19329 Upland Ct
Northville, MI 48167-1912

Phone 248-348-3207

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