Samuel John Buckett D.C.

NPI 1174734289 - Chiropractor - 111N00000X

NPI Details
NPI 1174734289
Gender Male
Enumeration Date 05/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
E9180 GOLF CLUB ROAD
CLINTONVILLE WI, 54929, US
Phone (715) 823-2121
Fax (715) 823-5969
Business Location
W12529 ZIMDARS ROAD
LEOPOLIS WI, 54948, US
Phone (715) 787-4570
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 4314
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According to our database, Dr. Samuel John Buckett D.C. NPI is 1174734289, taxonomy code is 111N00000X and license number is 4314, license state is located at Wisconsin. Samuel John Buckett D.C. physically located at E9180 Golf Club Road, Clintonville WI, 54929. NPI Number Samuel John Buckett D.C. has the Individual type.

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1174734289 NPI number is provided on an as is basis without warranty of any kind. 1174734289 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel John Buckett D.C. are for informational purposes only.