Individual
BREEANE WAZNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21772 S ELLSWORTH LOOP RD, QUEEN CREEK, AZ 85142-7709
(480) 512-3700
(480) 512-3715
Mailing address
17764 MILLSTONE DR, MACOMB, MI 48044-4185
(586) 610-1232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
65765
AZ
Other
Enumeration date
04/22/2019
Last updated
10/05/2022
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