Individual
LISA ANN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 HOBART ST, CADILLAC, MI 49601-2331
(231) 876-7200
Mailing address
PO BOX 58, CADILLAC, MI 49601-0058
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005320
MI
Other
Enumeration date
08/26/2008
Last updated
10/14/2008
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