Provider Demographics
NPI:1255074597
Name:BREMER, REBECCA L (DO)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:BREMER
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:22255 GREENFIELD RD STE 352
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3712
Mailing Address - Country:US
Mailing Address - Phone:248-849-3401
Mailing Address - Fax:248-849-4106
Practice Address - Street 1:22255 GREENFIELD RD STE 352
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3712
Practice Address - Country:US
Practice Address - Phone:248-849-3401
Practice Address - Fax:248-849-4106
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-05-10
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Provider Licenses
StateLicense IDTaxonomies
MI5151015730207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology