Individual
JASON RICHARD BUFFINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4212 GRAND AVE, DULUTH, MN 55807-2737
(218) 786-3500
Mailing address
4212 GRAND AVE, DULUTH, MN 55807-2737
(218) 786-3500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39289
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265609400
—
MN
Enumeration date
06/25/2006
Last updated
05/06/2011
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