Provider Demographics
NPI:1871732289
Name:BREDESTEGE, DEBORAH SMITH (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:SMITH
Last Name:BREDESTEGE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3170 KETTERING BLVD BLDG B3
Mailing Address - Street 2:
Mailing Address - City:MORAINE
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1924
Mailing Address - Country:US
Mailing Address - Phone:937-991-3188
Mailing Address - Fax:937-223-9811
Practice Address - Street 1:1 WYOMING ST BERRY WOMEN'S CENTER LABOR & DELIVERY
Practice Address - Street 2:STE 4130
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45409
Practice Address - Country:US
Practice Address - Phone:937-438-4381
Practice Address - Fax:937-641-2524
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2020-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC31598207V00000X
OH35.091377207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology