Individual
DR. MAURA E BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2893
(269) 693-2894
Mailing address
955 S BAILEY AVE, SOUTH HAVEN, MI 49090-6743
(269) 639-2893
(269) 693-2894
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101011483
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4579104
—
MI
Enumeration date
02/07/2006
Last updated
11/22/2016
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