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Individual

DR. MICHAEL ANDREW BRESTICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-3361
(570) 271-6367
(570) 271-7142
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01048626A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036-079877
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
55608-20
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD049632L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036079877
IL
05
1871595504
MI
05
200183480A
IN
05
200183480B
IN
05
200183480C
IN
05
200183480D
IN
05
200183480E
IN
Enumeration date
08/12/2005
Last updated
10/22/2019
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