Individual
DR. BRANDON ANTHONY WUERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4710
(502) 588-4771
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50519
KY
207R00000X
Internal Medicine Physician
LL36945
SC
207RG0100X
Gastroenterology Physician
Primary
50519
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100476780
—
KY
Enumeration date
06/09/2014
Last updated
08/18/2020
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