Individual
MARK G BUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, OTR
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9449
(715) 623-9425
Mailing address
5913 EDWARD ST, WESTON, WI 54476-3718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4092-026
WI
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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