Individual
DAVID WILLIAM BREGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44720 VAN DYKE AVE, UTICA, MI 48317-5480
(586) 323-7148
(586) 323-7215
Mailing address
44720 VAN DYKE AVE, UTICA, MI 48317-5480
(586) 323-7148
(586) 323-7215
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301051390
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500783
BCBS PIN NUMBER
MI
05
—
1770550709
—
MI
05
—
4373558
—
MI
01
—
4519658
AETNA
MI
01
—
700E012740
BCBS GROUP NUMBER
MI
Enumeration date
03/08/2006
Last updated
11/04/2008
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