Individual
DR. MATTHEW PAUL BUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
920 MAIN AVE STE B, DE PERE, WI 54115-1306
(920) 403-0085
(920) 278-5368
Mailing address
920 MAIN AVE STE B, DE PERE, WI 54115-1306
(920) 403-0085
(920) 278-5368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14872
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100093827
—
WI
Enumeration date
09/24/2019
Last updated
10/31/2024
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