Individual
DR. MAX JOSEPH KUKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4617 CHARDONNAY CT, ATLANTA, GA 30338
(770) 604-9071
(770) 604-3034
Mailing address
4617 CHARDONNAY CT, ATLANTA, GA 30338
(770) 604-9071
(770) 604-3034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101005518
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3441760
—
MI
Enumeration date
05/14/2008
Last updated
05/14/2008
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