Individual
BREDA VICTORIA KNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101023936
MI
208600000X
Surgery Physician
Primary
DR.0074259
CO
Other
Enumeration date
06/11/2018
Last updated
01/30/2025
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