Individual
DR. GERARD MARTIN BREITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 W GRAND RIVER AVE, STE 2, OKEMOS, MI 48864-2394
(517) 349-6560
(517) 349-5796
Mailing address
804 SERVICE RD, A201, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101007628
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669414116
—
MI
05
—
3343821
—
MI
Enumeration date
06/11/2006
Last updated
06/14/2016
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