Individual
JOANNA BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
Mailing address
721 AMERICAN AVE STE 501, WAUKESHA, WI 53188-5071
(262) 928-4036
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
71731-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2018
Last updated
08/04/2022
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