Individual
MR. JONATHAN J. BUCHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
LAKESHORE CLINIC SUITE 502, 3970 N. OAKLAND AVENUE, SHOREWOOD, WI 53211
(414) 241-6434
(414) 332-8596
Mailing address
LAKESHORE CLINIC SUITE 502, 3970 N. OAKLAND AVENUE, SHOREWOOD, WI 53211
(414) 241-6434
(414) 332-8596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7025-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40963700
—
WI
Enumeration date
05/01/2007
Last updated
07/08/2007
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