Provider Demographics
NPI:1356599443
Name:BUCHNER, WILLIAM JR (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:BUCHNER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1311 S SNOWBERRY TRL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-3352
Mailing Address - Country:US
Mailing Address - Phone:605-991-2900
Mailing Address - Fax:605-991-2901
Practice Address - Street 1:5013 S LOUISE AVE # 1382
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-2268
Practice Address - Country:US
Practice Address - Phone:605-991-2900
Practice Address - Fax:605-991-2901
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2024-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5315241305207Q00000X
CAA109750207Q00000X
SD14438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine