Individual
TIMOTHY LEE BUECHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 2ND AVE, NEW GLARUS, WI 53574-9776
(608) 527-4390
Mailing address
30 POND VIEW WAY, FITCHBURG, WI 53711-4954
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3039-19
WI
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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