Individual
JOSEPH JOHN BUCKLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(679) 225-3428
Mailing address
2038 BURNETT DR, MORA, MN 55051-6825
(320) 679-4305
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R083664-3
MN
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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