Individual
DR. WILLIAM P BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 S NAPPANEE ST, ELKHART, IN 46514-2066
(574) 296-3314
(574) 296-3351
Mailing address
PO BOX 2968, ELKHART, IN 46515-2968
(574) 296-3314
(574) 296-3300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01044742A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200105920A
—
IN
Enumeration date
05/23/2005
Last updated
08/09/2010
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