Individual
KIMBERLY BREIDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18606 ERVIN ST, WHITEHALL, WI 54773-8613
(715) 538-4355
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62657
WI
Other
Enumeration date
04/11/2011
Last updated
02/16/2015
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