Individual
LISA BREITHAUPT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1370
(734) 475-6914
Mailing address
48231 BAYSHORE DR, BELLEVILLE, MI 48111-4603
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704143461
MI
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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