Individual
DR. WILLIAM M BUZOGANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
W350 S1401 WATERVILLE ROAD, LAD LAKE INC, DOUSMAN, WI 53118
(262) 965-2131
(262) 965-4107
Mailing address
PO BOX 158, LAD LAKE INC, DOUSMAN, WI 53118
(262) 965-2131
(262) 965-4107
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
13618020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13618020
WIS REG LICENSING
WI
05
—
32181300
—
WI
Enumeration date
01/14/2008
Last updated
01/14/2008
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