Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | 11669-132 | WI |
NPI | 1689937088 |
---|---|
Provider Name | Mr. James C Bufford SR. |
First Address | Milwaukee, WI 53210-2505 |
Second Address | Milwaukee, WI 53210-2505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2012 |
Last Update Date | 20/06/2012 |