Individual
BREANNA OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
10318 ELMS RD, MONTROSE, MI 48457-9195
(810) 252-6374
Mailing address
10318 ELMS RD, MONTROSE, MI 48457-9195
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
0136001130
VA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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