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Individual

MR. BRET D KUEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
128 N. RANDOLPH STREET, GARRETT, IN 46738-1138
(260) 357-6557
(260) 357-0373
Mailing address
3702 NEW VISION DR BLDG B, FORT WAYNE, IN 46845-1703
(260) 266-8207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01061176A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200526290
IN
01
P00244632
RAILROAD MEDICARE
IN
Enumeration date
01/23/2006
Last updated
10/17/2022
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