Provider Demographics
NPI:1578997771
Name:BUCHTEL, HENRY AUGUSTUS V (DIPLAC, RAC)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:AUGUSTUS
Last Name:BUCHTEL
Suffix:V
Gender:M
Credentials:DIPLAC, RAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2016 MANCHESTER RD APT 26
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-5400
Mailing Address - Country:US
Mailing Address - Phone:734-845-8550
Mailing Address - Fax:
Practice Address - Street 1:2016 MANCHESTER RD APT 26
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5400
Practice Address - Country:US
Practice Address - Phone:734-845-8550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-25
Last Update Date:2013-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5401000063171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist