Individual
MARK BUETTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
730 W MARKET ST, 2K TOWER, LIMA, OH 45801-4602
(419) 996-5852
(419) 996-5854
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-0001
(513) 981-5123
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.001182
OH
363AS0400X
Surgical Physician Assistant
50001182
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076227
—
OH
Enumeration date
10/21/2005
Last updated
05/10/2017
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