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Individual

DR. JEREMY D. BUFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6408 COPPS AVE, MONONA, WI 53716-3702
(608) 417-3000
Mailing address
202 S PARK ST, MADISON, WI 53715-1507

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
50185
WI
207K00000X
Allergy & Immunology Physician
E-6404
AR
208000000X
Pediatrics Physician
50185
WI

Other

Enumeration date
05/09/2006
Last updated
06/12/2013
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