Individual
DEBORAH ANN BREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 463-2243
Mailing address
400 MEDICAL PARK DR, WATERVLIET, MI 49098-9225
(269) 463-2243
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024850
NY
363A00000X
Physician Assistant
10004934A
IN
363A00000X
Physician Assistant
Primary
5601003885
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0852915070
BCBSM
MI
Enumeration date
07/14/2006
Last updated
04/22/2026
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