Individual
MR. SAMUEL LEE BUCKLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
1200 N TELEGRAPH RD # BDLG32E, PONTIAC, MI 48341-1032
(248) 451-2600
Mailing address
1200 N TELEGRAPH RD # BDLG32E, PONTIAC, MI 48341-1032
(248) 451-2600
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
1921745
MI
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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