Individual
LEONARD JOSEPH BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 ISAAC STREETS DR, SUITE 116, OREGON, OH 43616-3291
(419) 698-2512
(419) 698-2004
Mailing address
1050 ISAAC STREETS DR, SUITE 116, OREGON, OH 43616-3291
(419) 698-2512
(419) 698-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-04-4078 B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0411101
—
OH
01
—
200002407
RAILROAD MEDICARE
—
Enumeration date
08/15/2005
Last updated
05/12/2008
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