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NPI Code Detail

MEDICARE: ANDREW STUART KUEHN DDS

MEDICARE: ANDREW STUART KUEHN DDS
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
1122300000XDentistD14182MN

General Provider Information

NPI Number : 1063079242
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW STUART KUEHN DDS
Provider Business Mailing Address
First Line : 1121 SE 4TH AVE
Second Line :
City : GRAND RAPIDS
State : MN
Zip : 55744-3956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1121 SE 4TH AVE
Second Line :
City : GRAND RAPIDS
State : MN
Zip : 55744-3956
Country : US
Telephone Number : 218-326-3437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 05/23/2019

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Directions to “ ANDREW STUART KUEHN DDS” Practice Location

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