Individual
MR. MICHAEL JOHN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2730 W RAMSEY AVE, MILWAUKEE, WI 53221-4814
(414) 727-0164
(414) 282-2051
Mailing address
432 S 90TH ST, MILWAUKEE, WI 53214-1330
(262) 349-3657
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
732-19
WI
Other
Enumeration date
01/16/2007
Last updated
07/10/2012
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