Individual
ANDREA M BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DP-C
Contact information
Practice address
269 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 599-8999
Mailing address
52493 STORBAELT LN, MACOMB, MI 48042-3605
(586) 839-9258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
685118257
MI
2255A2300X
Athletic Trainer
—
MI
Other
Enumeration date
10/28/2020
Last updated
08/29/2025
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