Dr. Mark Anthony Brenner
Rehabilitation Chiropractor
2380 Troop Drive Suite 201
Sartell
, Minnesota 56377-4637
Dr. Mark Anthony Brenner
Rehabilitation Chiropractor
2380 Troop Drive Suite 201
Sartell
, Minnesota 56377-4637
(320) 253-4585
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About
Features
Specialties
- Rehabilitation Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Mark Anthony Brenner
- 2380 Troop Drive Suite 201
- Sartell, MN
- Zip : 56377-4637
- Fax : (320) 253-4585
- Phone : (320) 252-5599
Second Address
- Dr. Mark Anthony Brenner
- 2380 Troop Drive Suite 201
- Sartell, MN
- Zip : 56377-4637
- Fax : (320) 253-4585
- Phone : (320) 252-5599
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NR0400X | Rehabilitation Chiropractor | 2229 | MN |
National Provider Identifier
| NPI | 1013092162 |
|---|---|
| Provider Name | Dr. Mark Anthony Brenner |
| First Address | Sartell, MN 56377-4637 |
| Second Address | Sartell, MN 56377-4637 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 04/01/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 26817BR | BLUECROSS/BLUE SHIELD (01) | MN |
| 808328200 | (05) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.