Individual
DR. CHARLES LEWIS BRUEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4415 BUFFALO RD, SUITE 1B, NORTH CHILI, NY 14514-1024
(585) 594-9254
(585) 594-9233
Mailing address
4415 BUFFALO RD, SUITE 1B, NORTH CHILI, NY 14514-1024
(585) 594-9254
(585) 594-9233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
188551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299756
—
NY
Enumeration date
09/16/2006
Last updated
07/09/2007
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