Individual
GLENN KLINGENSMITH BUCHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
84 MARGINAL WAY STE 700, PORTLAND, ME 04101-2481
(207) 774-5816
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 347-2947
(207) 874-2317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
262324
MA
207R00000X
Internal Medicine Physician
Primary
MD25950
ME
207R00000X
Internal Medicine Physician
MD463110
PA
208000000X
Pediatrics Physician
MD463110
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2011
Last updated
03/03/2026
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