Provider Demographics
NPI:1366137663
Name:BREUER, MICHELLE KATHRYN (DO)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:KATHRYN
Last Name:BREUER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MICKEY
Other - Middle Name:
Other - Last Name:BREUER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:600 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792-1032
Practice Address - Country:US
Practice Address - Phone:608-723-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI81756-21207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology