Individual
LAURA M BREIDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1525 W CARO RD, CARO, MI 48723-9686
(989) 672-2100
(989) 672-6014
Mailing address
1003 WOODSIDE AVE, ESSEXVILLE, MI 48732-1234
(989) 892-7722
(989) 892-7455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601006184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659326395
—
MI
05
—
1689022469
—
MI
Enumeration date
09/20/2011
Last updated
06/23/2016
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