Individual
DR. MICHAEL JOSEPH BREINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2965 COLONNADE DR, SUITE 140, ROANOKE, VA 24018-3557
(540) 989-6361
(540) 989-8697
Mailing address
2965 COLONNADE DR, SUITE 140, ROANOKE, VA 24018-3557
(540) 989-6361
(540) 989-8697
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101050226
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06901051
—
VA
01
—
323954
ANTHEM
—
01
—
348227
MAMSI
—
01
—
4420846
AETNA
—
01
—
76991
SOUTHERN HEALTH
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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