Organization
E J KUEBECK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDELBERT J KUEBECK MD (PRESIDENT)
(419) 354-3921
Entity
Organization
Contact information
Practice address
1052 W WOOSTER ST, BOWLING GREEN, OH 43402
(419) 354-3921
(419) 354-3001
Mailing address
1052 W WOOSTER ST, BOWLING GREEN, OH 43402
(419) 354-3921
(419) 354-3001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35045108K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0516427
—
OH
Enumeration date
03/21/2007
Last updated
04/22/2008
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