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Individual

DR. BRIAN CHRISTOPHER BUELT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
672 W MAIN ST, GALESBURG, IL 61401-3549
(309) 343-5175
(309) 343-2519
Mailing address
672 W MAIN ST, GALESBURG, IL 61401-3549
(309) 343-5175
(309) 343-2519

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006438
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004882016
BC/CS
IL
Enumeration date
07/07/2005
Last updated
07/09/2010
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