Individual
BRIAN PAUL KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2109 HUGHES DR FL E, TOLEDO, OH 43606-3856
(419) 291-0159
Mailing address
2109 HUGHES DR FL E, TOLEDO, OH 43606-3856
(419) 291-0159
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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