Basic Information
Provider Information
NPI: 1346603701
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BUEHLER
FirstName: LAURA
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: DPM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 210 9TH ST SE
Address2:  
City: ROCHESTER
State: MN
PostalCode: 559046756
CountryCode: US
TelephoneNumber: 5072883443
FaxNumber:  
Practice Location
Address1: 210 9TH ST SE
Address2:  
City: ROCHESTER
State: MN
PostalCode: 559046756
CountryCode: US
TelephoneNumber: 5072883443
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2016
LastUpdateDate: 07/21/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/21/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
213ES0103X945MNY Podiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery

No ID Information.


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