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1912080268
MICHAEL T. BRENNAN
PORTLAND, ME
NPI
1912080268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ME PA-250)
Enumeration Date
2006-10-23
Last Update Date
2015-10-26
Business Address
-- MICHAEL T. BRENNAN P.A.-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2526
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Mailing Address
-- MICHAEL T. BRENNAN P.A.-C
324 GANNETT DR STE 200
SOUTH PORTLAND, ME 04106-3266
Phone number: 207-482-7800
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