Individual
DR. IGAL BREITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 N ROCKTON AVE, ROCKFORD, IL 61103-3619
(815) 971-2000
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5741
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35-121676
OH
208600000X
Surgery Physician
Primary
464
WI
208600000X
Surgery Physician
64663
CT
390200000X
Student in an Organized Health Care Education/Training Program
662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
662
TENNESSEE MEDICAL BOARD
TN
Enumeration date
08/05/2011
Last updated
11/22/2023
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