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Jeffrey Bucknam
NPI 1295164846 · on the registry since 2013 · sole proprietor
Practice
- Address
- 7711 Gingerwood Dr
Traverse City, MI 49685 - Phone
- (231) 715-6122
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan