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Individual

DR. KEVIN M BLUEMEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2310 1ST CENTER AVE, BRODHEAD, WI 53520-1937
(608) 897-8664
Mailing address
2310 1ST CENTER AVE, BRODHEAD, WI 53520-1937
(608) 897-8664

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36891
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32173800
WI
Enumeration date
07/25/2006
Last updated
07/08/2007
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