Provider Demographics
NPI:1184054421
Name:BUCHNER, DION STEFAN (MD)
Entity type:Individual
Prefix:
First Name:DION
Middle Name:STEFAN
Last Name:BUCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HIGASHI GOTANDA 4 3 41
Mailing Address - Street 2:SHINAGAWA KU
Mailing Address - City:TOKYO
Mailing Address - State:TOKYO
Mailing Address - Zip Code:141 0022
Mailing Address - Country:JP
Mailing Address - Phone:81808-826-1646
Mailing Address - Fax:
Practice Address - Street 1:HIGASHI GOTANDA 4 3 41
Practice Address - Street 2:SHINAGAWA KU
Practice Address - City:TOKYO
Practice Address - State:TOKYO
Practice Address - Zip Code:141 0022
Practice Address - Country:JP
Practice Address - Phone:81808-826-1646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-23
Last Update Date:2013-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207648207ZP0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine