Individual
WARREN M BREITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1390 HIGHWAY 61, SUITE 2300, FESTUS, MO 63028-4137
(636) 937-3121
(636) 937-4423
Mailing address
1390 HIGHWAY 61 STE 2300, FESTUS, MO 63028-4121
(636) 937-3121
(636) 937-4423
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
075585
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G9264
TX
207RP1001X
Pulmonary Disease Physician
01038424A
IN
207RP1001X
Pulmonary Disease Physician
106261
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110093731
MEDICARE RAILROAD
MO
05
—
207728601
—
MO
Enumeration date
06/09/2005
Last updated
01/28/2019
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