Doctor Name: | LAURA M BREIDINGER |
NPI Number: | 1245513951 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 5601006184 |
Business Practice Address: | 1525 W Caro Rd Caro, MI - 487239686 |
Business Phone Number: | 9896722100 |
Business Fax Number: | 9896726014 |
Mailing Address: | 3061 Christy Way, SAGINAW |
State: | MI |
Postal Code: | 486032224 |
Phone Number: | 9897912455 |
Fax Number: | 9897911392 |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5601006184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |