NPI 1073184057

Evan Alexandra Buckley

Practitioner Other Technician Good Thunder, MN

Practice location

Address: 843 Chapel St, Good Thunder, MN 56037-4002
Phone: (507) 766-1705

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Minnesota →

Registry record

NPI: 1073184057
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jul 2021
Record last updated: 9 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.