Individual
MR. ROBERT A BUZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4909
(217) 545-3821
(217) 545-4485
Mailing address
PO BOX 19644, SPRINGFIELD, IL 62794-9644
(217) 545-3821
(217) 545-4485
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
036086434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086434
—
IL
Enumeration date
05/24/2005
Last updated
08/28/2009
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