Individual
RICHARD C BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51916 STATE ROAD 933, SOUTH BEND, IN 46637-1708
(574) 272-1350
(574) 272-1337
Mailing address
51916 U.S. 31 NORTH, SOUTH BEND, IN 46637
(574) 272-1350
(574) 272-1337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21120
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
792083299
RRMR
IN
Enumeration date
03/31/2006
Last updated
02/18/2009
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