Individual
TIMOTHY GEORGE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14555 W NATIONAL AVE, #165, NEW BERLIN, WI 53151-4497
(262) 827-2959
(262) 827-2948
Mailing address
100 15TH AVE, #180, SOUTH MILWAUKEE, WI 53172-1160
(262) 827-2959
(262) 826-2948
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25210
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30619200
—
WI
Enumeration date
11/01/2006
Last updated
02/29/2024
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