| Doctor Name: | MR. CHRISTOPHER ANTHONY BUCKMAN |
| NPI Number: | 1013196062 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 1499 6th St Green Bay, WI - 543042252 |
| Business Phone Number: | 9204976161 |
| Business Fax Number: | 9204980476 |
| Mailing Address: | 1499 6th St, GREEN BAY |
| State: | WI |
| Postal Code: | 543042252 |
| Phone Number: | 9204976161 |
| Fax Number: | 9204980476 |
| NPI Enumeration Date: | 10/26/2007 |
| NPI Last Update Date: | 01/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |