Individual
ANDREW CHARLES BUCHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401
(715) 847-2121
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41320020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080170953
RR MEDICARE
—
05
—
32528400
—
WI
Enumeration date
09/30/2005
Last updated
12/21/2012
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