# 302 FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871220079
- **Authorized official:** DR. MICHELLE BRETZIUS D.O. (PHYSICIAN)
- **Authorized official phone:** (717) 644-2648

## Contact information

- **Practice address:** 306 POLK AVE, MILFORD, DE 19963-1818
- **Practice address phone:** (302) 300-3514
- **Mailing address:** 322 ROBBINS RD, FREDERICA, DE 19946-1955
- **Mailing address phone:** (717) 644-2648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2022
- **Last updated:** 08/07/2022