Individual
MR. STEFAN FRIEDRICH BRECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 934-9409
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840823
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8922951
—
VA
01
—
970009887
RAILROAD MEDICARE
VA
Enumeration date
04/27/2006
Last updated
03/06/2013
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