Provider Demographics
NPI:1326050816
Name:BUCHMAN, NORMAN H (DPM)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:H
Last Name:BUCHMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1899 N WESTWOOD BLVD
Mailing Address - Street 2:SUITE C ROOM 187
Mailing Address - City:POPLAR BLUFF
Mailing Address - State:MO
Mailing Address - Zip Code:63901-2833
Mailing Address - Country:US
Mailing Address - Phone:978-335-8344
Mailing Address - Fax:
Practice Address - Street 1:1899 N WESTWOOD BLVD
Practice Address - Street 2:SUITE C ROOM 187
Practice Address - City:POPLAR BLUFF
Practice Address - State:MO
Practice Address - Zip Code:63901-2833
Practice Address - Country:US
Practice Address - Phone:978-335-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000809213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T58665Medicare UPIN