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NPI Code Detail

MEDICARE: BRAD KLUEBER D.C., C.S.C.S

MEDICARE:   BRAD  KLUEBER  D.C., C.S.C.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC009938PA

General Provider Information

NPI Number : 1750551826
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRAD KLUEBER D.C., C.S.C.S
Provider Business Mailing Address
First Line : 707 GRANT ST STE 2708
Second Line :
City : PITTSBURGH
State : PA
Zip : 15219-1945
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 707 GRANT ST
Second Line : 2708
City : PITTSBURGH
State : PA
Zip : 15219-1908
Country : US
Telephone Number : 412-443-8873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2008
Last Update Date : 04/14/2008

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Directions to “ BRAD KLUEBER D.C., C.S.C.S” Practice Location

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