Healthcare Provider Details

I. General information

NPI: 1194886127
Provider Name (Legal Business Name): PATRICIA A BUEHLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9792 HIGHWAY 70 WEST
MINOCQUA WI
54548
US

IV. Provider business mailing address

PO BOX 131 9792 HIGHWAY 70 WEST
MINOCQUA WI
54548
US

V. Phone/Fax

Practice location:
  • Phone: 715-358-9994
  • Fax: 715-358-9997
Mailing address:
  • Phone: 715-358-9994
  • Fax: 715-358-9997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number5002111015
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: