Healthcare Provider Details

I. General information

NPI: 1689537722
Provider Name (Legal Business Name): AMELIA L. BUECHE, D.O., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

869 ROBINWOOD CT
TRAVERSE CITY MI
49686-4316
US

IV. Provider business mailing address

344 W 13TH ST
TRAVERSE CITY MI
49684-4012
US

V. Phone/Fax

Practice location:
  • Phone: 989-327-7668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: AMELIA BUECHE
Title or Position: OWNER
Credential: D.O.
Phone: 989-327-7668