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Individual

DR. THOMAS BUCKINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-1898
(207) 764-6993
Mailing address
140 ACADEMY ST, PRESQUE ISLE, ME 04769-3102
(207) 764-1898
(207) 764-6993

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036058878
IL
207RC0000X
Cardiovascular Disease Physician
24361-020
WI
207RC0000X
Cardiovascular Disease Physician
Primary
MD18138
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194833178
ME
Enumeration date
08/29/2006
Last updated
11/13/2012
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