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Individual
DR. BRENTLEY ALLEN BUCHELE
Active
Individual
DR. BRENTLEY ALLEN BUCHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
11056
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093226
MT ID
MT
05
—
0152779
—
MT
Enumeration date
05/22/2006
Last updated
11/27/2023
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