Individual
BRECKEN GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 E MAUMEE ST STE 201, ANGOLA, IN 46703-2035
(260) 667-2700
(260) 667-2611
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28157476A
IN
Other
Enumeration date
08/12/2016
Last updated
10/10/2022
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