Individual
JEFFREY C BUCHSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 N MILO B SAMPSON LN, BLOOMINGTON, IN 47408-1398
(812) 349-5074
(812) 349-5046
Mailing address
250 N SHADELAND AVE, STE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01068408A
IN
2085R0001X
Radiation Oncology Physician
MD425677
PA
2085R0001X
Radiation Oncology Physician
ME103649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200387620
—
IN
05
—
64053242
—
KY
05
—
MD002IN
—
AK
01
—
P01420753
RAILROAD MEDICARE
IN
Enumeration date
06/08/2006
Last updated
03/26/2015
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