Provider Demographics
NPI:1508056243
Name:WEASEL BREGE, CHRISTINA LYNN (PA-C)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:LYNN
Last Name:WEASEL BREGE
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2812 W CADILLAC DR
Mailing Address - Street 2:
Mailing Address - City:FARWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48622-9757
Mailing Address - Country:US
Mailing Address - Phone:989-588-5055
Mailing Address - Fax:989-588-5052
Practice Address - Street 1:2812 W CADILLAC DR
Practice Address - Street 2:
Practice Address - City:FARWELL
Practice Address - State:MI
Practice Address - Zip Code:48622-9757
Practice Address - Country:US
Practice Address - Phone:989-588-5055
Practice Address - Fax:989-588-5052
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2012-09-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant