Individual
TIMOTHY J BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02773
IA
207R00000X
Internal Medicine Physician
Primary
36763
WI
207RR0500X
Rheumatology Physician
02773
IA
207RR0500X
Rheumatology Physician
36763
WI
Other
Enumeration date
12/05/2005
Last updated
08/23/2021
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