Individual
MARTHA L BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 SHERIDAN DR, SUITE 202, LANCASTER, OH 43130-1381
(740) 654-0232
(740) 654-9794
Mailing address
805 MOUNT ZION RD SW, LANCASTER, OH 43130-9542
(740) 243-5859
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301078318
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4765638
—
MI
Enumeration date
10/11/2006
Last updated
01/25/2022
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