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Individual

DR. BRETT ROGER KUNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
101 S WASHINGTON ST, CASTALIA, OH 44824-9262
(419) 684-5369
(419) 684-7238
Mailing address
1031 PIERCE ST, SUITE D, SANDUSKY, OH 44870-4669
(419) 557-5568
(419) 557-5542

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34004347
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000134864
ANTHEM BLUE CROSS BLUE SH
OH
05
0704410
OH
01
080026370
RAIL ROAD MEDICARE
OH
Enumeration date
05/23/2005
Last updated
10/27/2014
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