Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 35069944 | OH |
NPI | 1063405280 |
---|---|
Provider Name | Dr. Jeffrey Lynn Buehrer |
First Address | Sandusky, OH 44870-3391 |
Second Address | Sandusky, OH 44870-3391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 01/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0289683 | (05) | OH |
F07912 | (02) | OH |