Organization
LEONARD J BUCK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD J BUCK MD (PRESIDENT)
(419) 698-2512
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DRIVE, SUITE 116, OREGON, OH 43616-3291
(419) 698-2512
(419) 698-2004
Mailing address
1050 ISAAC STREETS DRIVE, SUITE 116, OREGON, OH 43616-3291
(419) 698-2512
(419) 698-2004
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35044078B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2975697
—
OH
01
—
DG5191
RAILROAD MEDICARE
OH
Enumeration date
03/06/2007
Last updated
10/29/2009
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