person
Dr. Lawrence Jordan Breyfogle, MD
Student in an Organized Health Care Education/Training Program in Ann Arbor, Michigan
NPI 1710509872

Lawrence Jordan Breyfogle is a Student in an Organized Health Care Education/Training Program based in Ann Arbor, MI. Lawrence Jordan Breyfogle practices in Ann Arbor, MI and has the professional credentials of MD. The NPI Number for Lawrence Jordan Breyfogle is 1710509872 and holds a License No. 4351046184 (Michigan).

The current practice location address for Lawrence Jordan Breyfogle is 1500 E Medical Center Drive, Ann Arbor, MI and can be reached out via phone at 734-615-4924.

Location: 1500 E Medical Center Drive, Ann Arbor, MI, 48109-5030
person
Provider Profile Details
NPI Number
1710509872
Provider Name
Lawrence Jordan Breyfogle
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1500 E Medical Center Drive, Ann Arbor, MI, 48109-5030
Phone Number
734-615-4924
Fax Number
Provider Enumeration Date
05/12/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1500 E Medical Center Drive
City
State
Zip
48109-5030
Phone Number
734-615-4924
Fax Number
person
Provider Business Mailing Address Details
Address
1500 E Medical Center Drive
City
State
Zip
48109-5030
Phone Number
734-615-4924
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
4351046184 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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