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NPI Code Detail

MEDICARE: REBECCA BUELL

MEDICARE: REBECCA BUELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician125.054393IL

General Provider Information

NPI Number : 1679869630
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BUELL
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 419-866-5453
Provider Business Practice Location Address
First Line : 130 2ND ST
Second Line :
City : NEENAH
State : WI
Zip : 54956-2883
Country : US
Telephone Number : 920-729-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2011
Last Update Date : 04/24/2026

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Directions to “ REBECCA BUELL ” Practice Location

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