Timothy George Buchanan MD

NPI 1912085416 - Family Medicine - 207Q00000X

NPI Details
NPI 1912085416
Gender Male
Enumeration Date 11/01/2006
Last Updated 03/14/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
14555 W NATIONAL AVE
#165
NEW BERLIN WI, 53151-4497, US
Phone (262) 827-2959
Fax (262) 827-2948
Business Location
100 15TH AVE
#180
SOUTH MILWAUKEE WI, 53172-1160, US
Phone (262) 827-2959
Fax (262) 826-2948
Toxanomy
Taxonomy Code 207Q00000X
License State Wisconsin
License Number 25210
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According to our database, Timothy George Buchanan MD NPI is 1912085416, taxonomy code is 207Q00000X and license number is 25210, license state is located at Wisconsin. Timothy George Buchanan MD physically located at 14555 W National Ave, New Berlin WI, 53151-4497. NPI Number Timothy George Buchanan MD has the Individual type.

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1912085416 NPI number is provided on an as is basis without warranty of any kind. 1912085416 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy George Buchanan MD are for informational purposes only.