Healthcare Provider Details

I. General information

NPI: 1922843788
Provider Name (Legal Business Name): BUETTNER WOUND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7022 BISQUE TER
RICHMOND VA
23238-1107
US

IV. Provider business mailing address

7022 BISQUE TER
RICHMOND VA
23238-1107
US

V. Phone/Fax

Practice location:
  • Phone: 804-389-1865
  • Fax:
Mailing address:
  • Phone: 804-389-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State

VIII. Authorized Official

Name: KARIN W. BUETTNER
Title or Position: OWNER
Credential: MD
Phone: 804-389-1865