Individual
MR. CECIL BRIAN BREETZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 PEERLESS XING NW, SUITE 200, CLEVELAND, TN 37312-3784
(423) 479-4165
(423) 478-1884
Mailing address
1060 PEERLESS XING NW, SUITE 200, CLEVELAND, TN 37312-3784
(423) 479-4165
(423) 478-1884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37479
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3895054
—
TN
01
—
4075200
BLUE CARE
TN
01
—
TN0139
JOHN DEERE
TN
Enumeration date
11/20/2006
Last updated
09/04/2020
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