WILLIAM CARLIN BUCKNAM

MADISON, WI
NPI1548206360
Professional NameWILLIAM C BUCKNAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: WI  54298)
Additional Taxonomies2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: MI  043167)
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI  043167)
2084A0401X Psychiatry & Neurology, Addiction Medicine
(Licence: WI  54298)
Enumeration Date2006-06-21
Last Update Date2016-12-07
Business Address
-- WILLIAM CARLIN BUCKNAM MD
1018 GAMMON LN
MADISON, WI 53719-2256
Phone number: 608-417-8144
Mailing Address
-- WILLIAM CARLIN BUCKNAM MD
202 S PARK ST
MADISON, WI 53715-1507
Phone number: 608-417-6000