Individual
DR. BRENTLEY ALLEN BUCHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 FOUR MILE DR STE 10, KALISPELL, MT 59901-2663
(406) 756-2241
(406) 758-7062
Mailing address
60 FOUR MILE DR STE 10, KALISPELL, MT 59901-2663
(406) 756-2241
(406) 758-7062
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
11056
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000093226
MT ID
MT
05
—
0152779
—
MT
Enumeration date
05/22/2006
Last updated
11/27/2023
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