# MICHAEL J BUCKMASTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801891189
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 01048422A | IN | — |
| 2086S0129X | Vascular Surgery Physician | 01048422A | IN | Yes |
| 2086S0129X | Vascular Surgery Physician | 35.090263 | OH | — |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 09/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000705159 | ANTHEM | — |
| 05 | — | 200180440 | — | IN |
| 05 | — | 2072135 | — | OH |