Organization
WILLIAM BUCKNAM MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BUCKNAM (OWNER)
(810) 588-4657
Entity
Organization
Contact information
Practice address
3135 S STATE ST, ANN ARBOR, MI 48108-1653
(734) 330-7373
Mailing address
3135 S STATE ST, ANN ARBOR, MI 48108-1653
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301043167
MI
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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