Individual provider · NPI-1

Warren M Breite, MD

Internal Medicine, Critical Care Medicine · Festus, MO

NPI number1457355372
StatusActive
Last updated in NPPESJan 28, 2019

Details

NPI
1457355372
Entity type
Individual (NPI-1)
Name
Warren M Breite
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2005
Last updated
Jan 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine075585GAYes
207RP1001X Internal Medicine, Pulmonary Disease106261MO
207RC0200X Internal Medicine, Critical Care MedicineG9264TX
207RP1001X Internal Medicine, Pulmonary Disease01038424AIN

Other names

  • W Mark Breite (Other Name)

Practice location

1390 Highway 61
Suite 2300
Festus, MO 63028-4137

Phone 636-937-3121 · Fax 636-937-4423

Mailing address

1390 Highway 61 Ste 2300
Festus, MO 63028-4121

Phone 636-937-3121 · Fax 636-937-4423

Other practice locations

601 W 2nd St
Bloomington, IN 47403-2317

Phone 812-331-3400 · Fax 812-332-7265

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