Individual
DR. BRETT DAVID KUCEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35.087687
OH
2085R0202X
Diagnostic Radiology Physician
Primary
4301078351
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105014
COMMERCIAL
MI
01
—
300C376020
BCBS
MI
01
—
300C376030
BCBS
MI
01
—
381879056
COMMERCIAL
MI
05
—
4996493
—
MI
Enumeration date
07/08/2006
Last updated
05/03/2019
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