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Individual

DANIEL BALTZ KUETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 E 3RD ST, SUITE 202, CHATTANOOGA, TN 37403-2109
(423) 265-2233
(423) 756-8265
Mailing address
1010 E 3RD ST, CHATTANOOGA, TN 37403-2109
(423) 265-2233
(423) 756-8265

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
41447
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00369143
RAILROAD MEDICARE
TN
Enumeration date
10/13/2006
Last updated
10/08/2010
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