Individual
BUCKLEY FECHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
9555 76TH ST STE 2601, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8400
Mailing address
9555 76TH ST STE 2601, PLEASANT PRAIRIE, WI 53158-1984
(262) 577-8400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.247560
OH
207R00000X
Internal Medicine Physician
75776-20
WI
207RN0300X
Nephrology Physician
Primary
75776-20
WI
Other
Enumeration date
07/26/2018
Last updated
11/22/2024
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