Organization
VILLAGE OF BUCKLEY
Active
Other names
BUCKELY RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DUFF DC (DIRECTOR)
(231) 269-3702
Entity
Organization
Contact information
Practice address
106 INDUSTRIAL DR, BUCKLEY, MI 49620-0113
(231) 269-3702
Mailing address
106 INDUSTRIAL DR, BUCKLEY, MI 49620-0113
(231) 269-3702
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
831005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4856699
—
MI
01
—
590H310390
BLUE CROS BLUE SHIELD
MI
Enumeration date
11/02/2006
Last updated
06/17/2008
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