Dr. Michael J. Brenner
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery
19900 Haggerty Rd Suite 103
Livonia
, Michigan 48152-1054
Dr. Michael J. Brenner
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Plastic Surgeon (Head & Neck) Otolaryngology/Facial Plastic Surgery
19900 Haggerty Rd Suite 103
Livonia
, Michigan 48152-1054
(734) 936-2047
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Facial Plastic Surgeon
- Plastic Surgeon (Head & Neck)
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael J. Brenner
- 3621 S State St 700 Kms Place
- Ann Arbor, MI
- Zip : 48108-1633
- Phone : (734) 936-2047
Second Address
- Dr. Michael J. Brenner
- 19900 Haggerty Rd Suite 103
- Livonia, MI
- Zip : 48152-1054
- Fax : (734) 432-7660
- Phone : (734) 432-7634
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301102509 | MI |
| N | 207YS0123X | Facial Plastic Surgeon | 4301102509 | MI |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 036-121585 | IL |
| N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 036-121585 | IL |
National Provider Identifier
| NPI | 1023146776 |
|---|---|
| Provider Name | Dr. Michael J. Brenner |
| First Address | Ann Arbor, MI 48108-1633 |
| Second Address | Livonia, MI 48152-1054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/03/2007 |
| Last Update Date | 08/10/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036121585 | (05) | IL |
| H71283 | (02) |
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.