MEDICARE: RHONDA BUECHE CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	4704149417	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922063874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA BUECHE CRNA

Provider Business Mailing Address
First Line	:	4126 LEEWARD DR
Second Line	:
City	:	OKEMOS
State	:	MI
Zip	:	48864-4400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	30200 TELEGRAPH RD
Second Line	:	SUITE 220
City	:	BINGHAM FARMS
State	:	MI
Zip	:	48025-4502
Country	:	US
Telephone Number	:	248-258-5058
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	11/15/2016

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