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Individual

DR. KIRSTEN J BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3003 UNIVERSITY DR, MARINETTE, WI 54143-4110
(715) 735-4200
(715) 735-8019
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.155742
OH
207L00000X
Anesthesiology Physician
50213
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1366447278
MI
05
1366447278
WI
05
205916505
MO
Enumeration date
06/16/2005
Last updated
04/09/2026
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