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NPI Code Detail

MEDICARE: PROF. MICHAEL L BUCZEK LPC

MEDICARE: PROF. MICHAEL L BUCZEK LPC
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
1101YP2500XProfessional CounselorOH

General Provider Information

NPI Number : 1598272601
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. MICHAEL L BUCZEK LPC
Provider Business Mailing Address
First Line : 1895 OAKWOOD AVE
Second Line :
City : NAPOLEON
State : OH
Zip : 43545-9243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1895 OAKWOOD AVE
Second Line :
City : NAPOLEON
State : OH
Zip : 43545-9243
Country : US
Telephone Number : 419-924-2029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2018
Last Update Date : 01/10/2018

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Directions to “ PROF. MICHAEL L BUCZEK LPC” Practice Location

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