Individual
DR. BREANNA CONNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183
(734) 671-3297
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101024197
MI
208600000X
Surgery Physician
Primary
5151011248
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
06/01/2023
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