Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL L BREITENFELD, PA-C
ActiveMICHAEL L BREITENFELD, PA-C is a Family Medicine healthcare provider located in SHELL L AKE, Wisconsin. NPI 1568500650 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SHELL L AKE, WI
Registration Details
- NPI Number
- 1568500650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 2, 2007 (19.508080130286 yrs)
- Last Updated
- Jul 9, 2007
- License
-
03-023 (WI)
Practice Information
- Address
-
105 4TH AVENUESHELL L AKE, WI, 548710336Browse WI providers · Browse ZIP 54871
- Phone
- 7154682711
- Fax
- 7154682727
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.