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NPI Code Detail

MEDICARE: DAVID ALLEN BREITWEISER M.D.

MEDICARE:   DAVID ALLEN BREITWEISER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01043952IN

Other Identifiers

General Provider Information

NPI Number : 1194715854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID ALLEN BREITWEISER M.D.
Provider Business Mailing Address
First Line : 115 S MURPHY AVE STE A
Second Line :
City : BRAZIL
State : IN
Zip : 47834-8397
Country : US
Telephone Number : 812-442-2100
Fax Number : 812-446-4409
Provider Business Practice Location Address
First Line : 115 S MURPHY AVE
Second Line : SUITE A
City : BRAZIL
State : IN
Zip : 47834-8296
Country : US
Telephone Number : 812-442-2100
Fax Number : 812-446-4409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 03/12/2025

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Directions to “ DAVID ALLEN BREITWEISER M.D.” Practice Location

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